CN116648198A - Surgical stapler end effector slides with multiple surface finishes - Google Patents
Surgical stapler end effector slides with multiple surface finishes Download PDFInfo
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- CN116648198A CN116648198A CN202180086223.2A CN202180086223A CN116648198A CN 116648198 A CN116648198 A CN 116648198A CN 202180086223 A CN202180086223 A CN 202180086223A CN 116648198 A CN116648198 A CN 116648198A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/0682—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil
- A61B17/0686—Surgical staplers, e.g. containing multiple staples or clamps for applying U-shaped staples or clamps, e.g. without a forming anvil having a forming anvil staying below the tissue during stapling
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B17/07207—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously the staples being applied sequentially
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00526—Methods of manufacturing
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07257—Stapler heads characterised by its anvil
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07271—Stapler heads characterised by its cartridge
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/068—Surgical staplers, e.g. containing multiple staples or clamps
- A61B17/072—Surgical staplers, e.g. containing multiple staples or clamps for applying a row of staples in a single action, e.g. the staples being applied simultaneously
- A61B2017/07214—Stapler heads
- A61B2017/07278—Stapler heads characterised by its sled or its staple holder
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Abstract
Description
背景技术Background technique
外科器械的示例包括外科缝合器,该外科缝合器可被构造成能够用于腹腔镜外科手术和/或开放外科手术。一些此类缝合器能够操作以夹紧组织层,切穿夹持的组织层,并且将钉驱动穿过组织层,以在组织层的切断端部附近将切断的组织层基本上密封在一起。外科缝合器的示例公开于2008年7月29日发布的名称为“Surgical Stapling and CuttingDevice”的美国专利7,404,508号;2008年10月14日发布的名称为“Surgical StaplingInstrument Having Multistroke Firing with Opening Lockout”的美国专利7,434,715号;2010年5月25日发布的名称为“Disposable Cartridge with Adhesive for Use witha Stapling Device”的美国专利7,721,930号;2013年4月2日发布的名称为“SurgicalStapling Instrument with An Articulatable End Effector”的美国专利8,408,439号;以及2013年6月4日发布的名称为“Motor-Driven Surgical Cutting Instrument withElectric Actuator Directional Control Assembly”的美国专利8,453,914号中。以上引用的美国专利中的每个的公开内容以引用方式全文并入本文。Examples of surgical instruments include surgical staplers, which may be configured for use in laparoscopic and/or open surgery. Some such staplers are operable to grip tissue layers, cut through the gripped tissue layers, and drive staples through the tissue layers to substantially seal the severed tissue layers together near their severed ends. Examples of surgical staplers are disclosed in U.S. Patent No. 7,404,508, issued July 29, 2008, entitled "Surgical Stapling and Cutting Device"; US Patent No. 7,434,715; US Patent No. 7,721,930 issued May 25, 2010 entitled "Disposable Cartridge with Adhesive for Use with a Stapling Device"; issued April 2, 2013 entitled "Surgical Stapling Instrument with An Articulatable End Effector 8,408,439; and US Patent 8,453,914 issued June 4, 2013 titled "Motor-Driven Surgical Cutting Instrument with Electric Actuator Directional Control Assembly". The disclosures of each of the above-cited US patents are incorporated herein by reference in their entirety.
虽然已制造和使用各种外科缝合器械和相关联的部件,但据信在本发明人之前还无人制造或使用在所附权利要求中所描述的发明。While various surgical stapling instruments and associated components have been made and used, it is believed that no one prior to the present inventor has made or used the invention described in the appended claims.
附图说明Description of drawings
并入本说明书中并构成本说明书的一部分的附图示出了本发明的实施方案,并且与上面给出的本发明的一般描述以及下面给出的实施方案的详细描述一起用于解释本发明的原理。The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the general description of the invention given above and the detailed description of the embodiments given below serve to explain the invention principle.
图1示出了关节运动式外科缝合器械的示例的透视图;Figure 1 shows a perspective view of an example of an articulating surgical stapling instrument;
图2示出了图1的器械的侧视图;Figure 2 shows a side view of the instrument of Figure 1;
图3示出了图1的器械中打开的端部执行器的透视图;Figure 3 shows a perspective view of an open end effector in the instrument of Figure 1;
图4A示出了图3的端部执行器沿图3的线4-4截取的侧剖视图,其中击发梁处于近侧位置;4A shows a side cross-sectional view of the end effector of FIG. 3 taken along line 4-4 of FIG. 3 with the firing beam in a proximal position;
图4B示出了图3的端部执行器沿图3的线4-4截取的侧剖视图,其中击发梁处于远侧位置;4B shows a side cross-sectional view of the end effector of FIG. 3 taken along line 4-4 of FIG. 3 with the firing beam in the distal position;
图5示出了图3的端部执行器沿图3的线5-5截取的端部横截面视图;5 shows an end cross-sectional view of the end effector of FIG. 3 taken along line 5-5 of FIG. 3;
图6示出了图3的端部执行器的分解透视图;Figure 6 shows an exploded perspective view of the end effector of Figure 3;
图7示出了图3的端部执行器的透视图,该端部执行器定位在组织处并且已经在组织中被致动一次;Figure 7 shows a perspective view of the end effector of Figure 3 positioned at tissue and having been actuated once in the tissue;
图8示出了用于致动图1的器械的钉驱动器的楔形滑动件的示例的透视图,其示出了具有仓壁支撑特征部和多个表面光洁度的楔形滑动件;8 shows a perspective view of an example of a wedge sled for actuating a staple driver of the instrument of FIG. 1 showing a wedge sled with a cartridge wall support feature and a plurality of surface finishes;
图9示出了图8的楔形滑动件的侧视图;Figure 9 shows a side view of the wedge slide of Figure 8;
图10示出了图3的端部执行器的端部横截面视图,其中图8的楔形滑动件被捕获在端部执行器的钉仓的仓体和仓托盘之间;10 shows an end cross-sectional view of the end effector of FIG. 3 with the wedge-shaped sled of FIG. 8 captured between the cartridge body and the cartridge tray of the staple cartridge of the end effector;
图11示出了用于致动图1的器械的钉驱动器的楔形滑动件的另一个示例的透视图,其示出了具有仓壁支撑特征部、钉驱动器支撑特征部、渐缩远侧端部和多个表面光洁度的楔形滑动件;11 shows a perspective view of another example of a wedge sled for actuating a staple driver of the instrument of FIG. 1, showing a cartridge wall support feature, a staple driver support feature, a tapered distal end Wedge slides with multiple surface finishes;
图12示出了图11的楔形滑动件的侧视图;Figure 12 shows a side view of the wedge slide of Figure 11;
图13示出了图3的端部执行器的端部横截面视图,其中图11的楔形滑动件被捕获在端部执行器的钉仓的仓体和仓托盘之间;13 shows an end cross-sectional view of the end effector of FIG. 3 with the wedge sled of FIG. 11 captured between the cartridge body and the cartridge tray of the staple cartridge of the end effector;
图14A示出了图3的端部执行器的侧横截面视图,其中图11的楔形滑动件被捕获在端部执行器的钉仓的仓体和仓托盘之间,其示出了处于近侧位置的楔形滑动件;14A shows a side cross-sectional view of the end effector of FIG. 3, wherein the wedge-shaped sled of FIG. Wedge slides in side position;
图14B示出了图3的端部执行器的侧横截面视图,其中图11的楔形滑动件被捕获在端部执行器的钉仓的仓体和仓托盘之间,其示出了楔形滑动件的远侧倒角在楔形滑动件的远侧平移期间部分地提升对应钉驱动器;14B shows a side cross-sectional view of the end effector of FIG. 3 with the wedge sled of FIG. 11 captured between the cartridge body and the cartridge tray of the staple cartridge of the end effector, showing the wedge sled The distal chamfer of the member partially lifts the corresponding staple driver during distal translation of the wedge sled;
图14C示出了图3的端部执行器的侧横截面视图,其中图11的楔形滑动件被捕获在端部执行器的钉仓的仓体和仓托盘之间,其示出了楔形滑动件的基部的顶表面在楔形滑动件的远侧平移期间竖直地支撑对应钉驱动器;14C shows a side cross-sectional view of the end effector of FIG. 3 with the wedge sled of FIG. 11 captured between the cartridge body and the cartridge tray of the staple cartridge of the end effector, showing the wedge sled The top surface of the base of the piece vertically supports the corresponding staple driver during distal translation of the wedge sled;
图14D示出了图3的端部执行器的侧横截面视图,其中图11的楔形滑动件被捕获在端部执行器的钉仓的仓体和仓托盘之间,其示出了楔形滑动件的滑动件导轨的凸轮表面在楔形滑动件的远侧平移期间完全提升对应钉驱动器;14D shows a side cross-sectional view of the end effector of FIG. 3 with the wedge sled of FIG. 11 captured between the cartridge body and the cartridge tray of the staple cartridge of the end effector, showing the wedge sled The cam surface of the sled rail of the member fully lifts the corresponding staple driver during distal translation of the wedge-shaped sled;
图15示出了图3的端部执行器的端部横截面视图,其中另一个示例性楔形滑动件被捕获在端部执行器的钉仓的仓体和仓托盘之间,其示出了楔形滑动件具有前端内倾的内和外滑动件导轨和底切部;15 shows an end cross-sectional view of the end effector of FIG. 3 with another exemplary wedge sled captured between the cartridge body and the cartridge tray of the staple cartridge of the end effector, showing Wedge slides with inwardly sloped front inner and outer slide rails and undercuts;
图16示出了图3的端部执行器的端部横截面视图,其中另一个示例性楔形滑动件被捕获在端部执行器的钉仓的仓体和仓托盘之间,其示出了楔形滑动件具有前端内倾的内和外滑动件导轨;16 shows an end cross-sectional view of the end effector of FIG. 3 with another exemplary wedge sled captured between the cartridge body and the cartridge tray of the staple cartridge of the end effector, showing Wedge-shaped slides have inner and outer slide rails with incline front ends;
图17示出了图3的端部执行器的端部横截面视图,其中另一个示例性楔形滑动件被捕获在端部执行器的钉仓的仓体和仓托盘之间,其示出了楔形滑动件具有前端内倾的内滑动件导轨;17 shows an end cross-sectional view of the end effector of FIG. 3 with another exemplary wedge sled captured between the cartridge body and the cartridge tray of the staple cartridge of the end effector, showing The wedge-shaped slider has an inner slider guide rail with an inward front end;
图18示出了具有V形基部的另一个示例性楔形滑动件的横截面视图;Figure 18 shows a cross-sectional view of another exemplary wedge slide with a V-shaped base;
图19示出了具有分叉中心鼻部的另一个示例性楔形滑动件的横截面视图;Figure 19 shows a cross-sectional view of another exemplary wedge slide with a bifurcated central nose;
图20示出了图3的端部执行器的端部横截面视图,其中示例性钉仓被可移除地安装到端部执行器的下钳口的通道中,其示出了钉仓具有各种偏压特征部;并且20 illustrates an end cross-sectional view of the end effector of FIG. 3 with an exemplary staple cartridge removably mounted into the channel of the lower jaw of the end effector, showing the staple cartridge having various biasing features; and
图21示出了图3的端部执行器的端部横截面视图,其中示例性钉仓被可移除地安装到端部执行器的下钳口的通道中,其示出了钉仓具有仓托盘,该仓托盘具有用于减少钉仓的上部平台与砧座的内表面之间的组织间隙的突起。21 shows an end cross-sectional view of the end effector of FIG. 3 with an exemplary staple cartridge removably mounted into the channel of the lower jaw of the end effector, showing the staple cartridge with A cartridge tray having protrusions for reducing the tissue gap between the upper deck of the staple cartridge and the inner surface of the anvil.
附图并非旨在以任何方式进行限制,并且可以设想本发明的各种实施方案可以多种其他方式来执行,包括那些未必在附图中示出的方式。并入本说明书中并构成其一部分的附图示出了本发明的若干方面,并与说明书一起用于解释本发明的原理;然而,应当理解,本发明并不限于所示出的明确布置方式。The drawings are not intended to be limiting in any way, and it is contemplated that various embodiments of the invention may be carried out in numerous other ways, including those not necessarily shown in the drawings. The accompanying drawings, which are incorporated in and constitute a part of this specification, illustrate several aspects of the invention and together with the description serve to explain the principles of the invention; it is to be understood, however, that the invention is not limited to the precise arrangements shown. .
具体实施方式Detailed ways
本发明的某些示例的以下说明不应用于限定本发明的范围。根据以举例的方式示出的以下说明,本发明的其他示例、特征、方面、实施方案和优点对于本领域的技术人员而言将是显而易见的,一种最佳方式被设想用于实施本发明。如将认识到,本发明能够具有其他不同且明显的方面,所有这些方面均不脱离本发明。因此,附图和说明应被视为实质上是例示性的而非限制性的。The following description of certain examples of the invention should not be used to limit the scope of the invention. Other examples, features, aspects, embodiments and advantages of the invention will be apparent to those skilled in the art from the following description, shown by way of example, and one of the best modes contemplated for carrying out the invention . As will be realized, the invention is capable of other different and obvious aspects, all without departing from the invention. Accordingly, the drawings and descriptions are to be regarded as illustrative in nature and not restrictive.
I.外科缝合器的示例I. Examples of Surgical Staplers
图1至图7示出了外科缝合和切断器械(10)的示例,在图1中示出的非关节运动的状态下,其尺寸被设定成穿过套管针插管、开胸或其它切口插入患者的外科部位,以执行外科手术。本示例的器械(10)包括连接到轴(22)的柄部部分(20)。轴(22)朝远侧终止于关节运动接头(11)中,该关节运动接头进一步与端部执行器(12)耦接。应当理解,本文中使用的术语诸如“近侧”和“远侧”参照临床医生抓握器械(10)的柄部部分(20)而言。因此,端部执行器(12)相对于更近侧的柄部部分(20)位于远侧。Figures 1 to 7 illustrate an example of a surgical stapling and severing instrument (10) sized to pass through a trocar cannula, thoracotomy, or Other incisions are inserted into the patient's surgical site to perform the surgical procedure. The instrument (10) of the present example includes a handle portion (20) connected to a shaft (22). Shaft (22) terminates distally in articulation joint (11), which is further coupled with end effector (12). It should be understood that terms such as "proximal" and "distal" are used herein with reference to the handle portion (20) of the clinician's grasping instrument (10). Thus, the end effector (12) is located distally with respect to the more proximal handle portion (20).
一旦关节运动接头(11)和端部执行器(12)插入患者体内,关节运动接头(11)就可通过关节运动控件(13)进行远程关节运动,如图1中以虚像所示出的,使得端部执行器(12)可从轴(22)的纵向轴线(LA)以所需角度(α)偏转。仅以举例的方式,关节运动接头(11)和/或关节运动控件(13)可根据以下美国专利的教导内容中的至少一些教导内容进行构造并能够操作:2015年11月17日提交的名称为“Surgical Instrument End EffectorArticulation Drive with Pinion and Opposing Racks”的美国专利9,186,142号,该专利的公开内容以引用方式全文并入本文;和/或2017年10月24日发布的名称为“SurgicalInstrument with Multi-Diameter Shaft”的美国专利9,795,379号,该专利的公开内容以引用方式全文并入本文。根据本文的教导内容,关节运动接头(11)和关节控件(13)可以采用的各种其他合适的形式对于本领域中那些技术人员而言将显而易见。Once the articulation joint (11) and end effector (12) are inserted into the patient, the articulation joint (11) can be remotely articulated via the articulation control (13), as shown in phantom in Figure 1, The end effector (12) is allowed to deflect at a desired angle (α) from the longitudinal axis (LA) of the shaft (22). By way of example only, the articulation joint (11) and/or the articulation control (13) may be constructed and operable in accordance with at least some of the teachings of the following U.S. patent: title filed November 17, 2015 U.S. Patent No. 9,186,142 for "Surgical Instrument End EffectorArticulation Drive with Pinion and Opposing Racks," the disclosure of which is incorporated herein by reference in its entirety; and/or issued October 24, 2017, entitled "Surgical Instrument with Multi- No. 9,795,379 to Diameter Shaft", the disclosure of which is incorporated herein by reference in its entirety. Various other suitable forms that articulation joint (11) and articulation control (13) may take will be apparent to those skilled in the art in view of the teachings herein.
本示例的端部执行器(12)包括下钳口(16)和采用可枢转砧座(18)的形式的上钳口。仅以举例的方式,下钳口(16)可根据以下美国专利的教导内容中的至少一些教导内容进行构造和操作:2017年11月7日发布的名称为“Installation Features for SurgicalInstrument End Effector Cartridge”的美国专利9,808,248号,该专利的公开内容以引用方式全文并入本文。砧座(18)可根据2018年10月9日发布的名称为“Staple FormingFeatures for Surgical Stapling Instrument”的美国专利10,092,292号的教导内容中的至少一些教导内容来构造和操作,其公开内容以引用方式全文并入本文。根据本文的教导内容,下钳口(16)和砧座(18)可以采用的各种其他合适的形式对于本领域中那些技术人员而言将显而易见。The end effector (12) of the present example includes a lower jaw (16) and an upper jaw in the form of a pivotable anvil (18). By way of example only, the lower jaw (16) may be constructed and operative in accordance with at least some of the teachings of the following U.S. Patent: "Installation Features for Surgical Instrument End Effector Cartridge" issued November 7, 2017 US Patent No. 9,808,248, the disclosure of which is incorporated herein by reference in its entirety. The anvil (18) can be constructed and operated in accordance with at least some of the teachings of U.S. Patent No. 10,092,292, entitled "Staple Forming Features for Surgical Stapling Instrument," issued October 9, 2018, the disclosure of which is incorporated by reference The entire text is incorporated herein. Various other suitable forms that lower jaw (16) and anvil (18) may take will be apparent to those skilled in the art in view of the teachings herein.
柄部部分(20)包括手枪式握把(24)和闭合触发器(26)。闭合触发器(26)能够朝向手枪式握把(24)枢转,以使得砧座(18)朝向端部执行器(12)的下钳口(16)夹紧或闭合。砧座(18)的此类闭合是通过闭合管(32)和闭合环(33)提供的,这两者响应于闭合触发器(26)相对于手枪式握把(24)的枢转而相对于柄部部分(20)纵向地平移。闭合管(32)沿轴(22)的长度延伸;并且闭合环(33)定位在关节运动接头(11)的远侧。关节运动接头(11)能够操作以将纵向运动从闭合管(32)传输到闭合环(33)。The handle portion (20) includes a pistol grip (24) and a closure trigger (26). A closure trigger (26) is pivotable toward the pistol grip (24) to cause the anvil (18) to clamp or close toward the lower jaw (16) of the end effector (12). Such closure of the anvil (18) is provided by a closure tube (32) and a closure ring (33), which oppose each other in response to the pivoting of the closure trigger (26) relative to the pistol grip (24). Translate longitudinally on the handle portion (20). A closed tube (32) extends along the length of the shaft (22); and a closed loop (33) is positioned distally of the articulation joint (11). The articulation joint (11) is operable to transmit longitudinal motion from the closed tube (32) to the closed loop (33).
柄部部分(20)也包括击发触发器(28)。细长构件(未示出)纵向延伸穿过轴(22),并响应于激发触发器(28)的致动,从柄部部分(20)向击发梁(14)传递纵向击发运动。击发梁(14)的这种远侧平移使得端部执行器(12)中夹紧的组织被缝合和切断,如下文将更详细地描述的。此后,将触发器(26,28)释放以从端部执行器(12)释放该组织。The handle portion (20) also includes a firing trigger (28). An elongated member (not shown) extends longitudinally through shaft (22) and transmits longitudinal firing motion from handle portion (20) to firing beam (14) in response to actuation of firing trigger (28). This distal translation of firing beam (14) causes tissue clamped in end effector (12) to be stapled and severed, as will be described in more detail below. Thereafter, triggers (26, 28) are released to release the tissue from end effector (12).
如图4A至图4B中最佳所见,本示例的击发梁(14)包括横向取向的上部销(38)、击发梁顶盖(44)、横向取向的中部销(46)和处于远侧的切割刃(48)。上部销(38)被定位在砧座(18)的纵向砧座狭槽(42)内,并且能够在所述纵向砧座狭槽内平移。击发梁顶盖(44)通过使击发梁(14)延伸穿过下钳口槽(45)(图4B所示)而可滑动地接合下钳口(16)的下表面,下钳口槽(45)是穿过下钳口(16)形成的。中部销(46)以滑动的方式接合下钳口(16)的顶表面,从而与击发梁顶盖(44)协作。因此,击发梁(14)在击发期间必然隔开端部执行器(12)。仅作为示例,击发梁(14)和/或相关联闭锁特征部可以根据以下美国专利的教导内容中的至少一些教导内容进行构造和操作:2017年8月1日发布的名称为“Lockout Feature forMovable Cutting Member of Surgical Instrument”的美国专利9,717,497号,该专利的公开内容以引用方式全文并入本文。根据本文的教导内容,击发梁(14)可以采取的其它合适的形式对于本领域中那些技术人员将是显而易见的。As best seen in FIGS. 4A-4B , the firing beam ( 14 ) of the present example includes a transversely oriented upper pin ( 38 ), a firing beam cap ( 44 ), a transversely oriented middle pin ( 46 ) and a distally positioned pin ( 38 ). cutting edge (48). The upper pin (38) is positioned within a longitudinal anvil slot (42) of the anvil (18) and is capable of translating within said longitudinal anvil slot. The firing beam top cover (44) slidably engages the lower surface of the lower jaw (16) by extending the firing beam (14) through the lower jaw slot (45) (shown in FIG. 4B ), which ( 45) is formed through the lower jaw (16). The middle pin (46) slidably engages the top surface of the lower jaw (16), cooperating with the firing beam top cover (44). Therefore, the firing beam (14) must be spaced apart from the end effector (12) during firing. By way of example only, the firing beam (14) and/or associated lockout feature may be constructed and operated in accordance with at least some of the teachings of the following U.S. Patent: "Lockout Feature for Movable No. 9,717,497 to "Cutting Member of Surgical Instrument", the disclosure of which is incorporated herein by reference in its entirety. Other suitable forms that firing beam (14) may take will be apparent to those skilled in the art in view of the teachings herein.
图3示出本示例的朝近侧定位的击发梁(14)和枢转到打开位置的砧座(18),从而允许未耗尽的钉仓(37)可移除地安装到下钳口(16)的通道中。如图5至图6中最佳所见,本示例的钉仓(37)包括仓体(70),该仓体呈现出上部平台(72)并与下部仓托盘(74)耦接。如图3中最佳所见,竖直狭槽(49)被形成为穿过钉仓(37)的一部分。三排钉孔(51)被形成为在竖直狭槽(49)的一侧上穿过上部平台(72),另一组三排钉孔(51)被形成为在竖直狭槽(49)的另一侧上穿过上部平台(72)。当然,可提供任何其它合适数量钉排(例如,两排、四排、或其它数量)。重新参见图4A至图6,楔形滑动件(41)和多个钉驱动器(43)被捕集在仓体(70)与托盘(74)之间,其中当钉仓(37)处于预击发(或“未用”)状态时,楔形滑动件(41)位于钉驱动器(43)近侧。楔形滑动件(41)能够在钉仓(37)内纵向地移动;而钉驱动器(43)能够在钉仓(37)内竖直地移动。钉(47)也被定位在仓体(70)内,位于对应的钉驱动器(43)上方。具体来讲,每个钉(47)在仓体(70)内被钉驱动器(43)竖直地驱动,以将钉(47)通过相关联的钉孔(51)驱动出。如图4A至图4B和图6中最佳所见,楔形滑动件(41)存在倾斜凸轮表面,当楔形滑动件(41)朝远侧被驱动穿过钉仓(37)时,倾斜凸轮表面朝上推压钉驱动器(43)。Figure 3 shows the proximally positioned firing beam (14) of the present example and the anvil (18) pivoted to an open position, allowing an unspent staple cartridge (37) to be removably mounted to the lower jaw (16) in the channel. As best seen in FIGS. 5-6 , the staple cartridge ( 37 ) of the present example includes a cartridge body ( 70 ) presenting an upper platform ( 72 ) coupled to a lower cartridge tray ( 74 ). As best seen in Figure 3, a vertical slot (49) is formed through a portion of staple cartridge (37). Three rows of nail holes (51) are formed through the upper platform (72) on one side of the vertical slot (49), and another set of three rows of nail holes (51) are formed through the vertical slot (49). ) through the upper platform (72) on the other side. Of course, any other suitable number of rows of staples may be provided (eg, two rows, four rows, or other numbers). Referring back to Figures 4A-6, the wedge sled (41) and the plurality of staple drivers (43) are captured between the cartridge body (70) and the tray (74), wherein when the staple cartridge (37) is in the pre-fired ( or "unused") state, the wedge-shaped slider (41) is positioned at the proximal side of the nail driver (43). The wedge sled (41) is movable longitudinally within the staple cartridge (37); and the staple driver (43) is movable vertically within the staple cartridge (37). Staples (47) are also positioned within cartridge body (70), above corresponding staple drivers (43). Specifically, each staple (47) is driven vertically within the cartridge body (70) by a staple driver (43) to drive the staple (47) out through the associated staple hole (51). As best seen in FIGS. 4A-4B and FIG. 6 , wedge sled ( 41 ) presents a ramped cam surface that when wedge sled ( 41 ) is driven distally through staple cartridge ( 37 ), the ramped cam surface Push the staple driver (43) upwards.
仅以举例的方式,钉仓(37)可根据以下美国专利的教导内容中的至少一些教导内容进行构造和操作:2016年12月13日发布的名称为“Integrated Tissue Positioning andJaw Alignment Features for Surgical Stapler”的美国专利9,517,065号,该专利的公开内容以引用方式全文并入本文。根据本文的教导内容,钉仓(37)可采用的其他合适的形式对于本领域中那些技术人员而言将是显而易见的。By way of example only, staple cartridge (37) may be constructed and operated in accordance with at least some of the teachings of the following U.S. Patent: "Integrated Tissue Positioning and Jaw Alignment Features for Surgical Stapler" issued December 13, 2016 No. 9,517,065 of ", the disclosure of which is incorporated herein by reference in its entirety. Other suitable forms that cartridge (37) can take will be apparent to those skilled in the art in view of the teachings herein.
在通过朝远侧推进闭合管(32)和闭合环(33)以使端部执行器(12)如图4A至图4B所示闭合的情况下,通过使上部销(38)进入纵向砧座狭槽(42),将击发梁(14)推进至与砧座(18)接合。位于击发梁(14)的远侧端部处的推块(80)(图5中所示)被构造成能够接合楔形滑动件(41),使得当在击发触发器(28)被致动时,在击发梁(14)朝远侧推进穿过钉仓(37)的情况下,推块(80)朝远侧推动楔形滑动件(41)。在此类击发期间,击发梁(14)的切割刃(48)进入钉仓(37)的竖直狭槽(49),从而切断夹持在钉仓(37)和砧座(18)之间的组织。如图4A至图4B所示,中间销(46)和推块(80)通过进入钉仓(37)内的狭槽(49)中而一起致动钉仓(37),以将楔形滑动件(41)驱动成与钉驱动器(43)发生朝上顶起接触,继而将钉(47)向外驱动穿过钉孔(51)并使钉与砧座(18)的内表面上的钉成形凹坑(53)(图3中所示)形成接触。图4B示出了在完成切断和缝合组织之后完全朝远侧平移的击发梁(14)。还应当理解,从图4A至图4B中的视图中有意地省略了钉成形凹坑(53);但钉成形凹坑(53)如图3所示。还应当理解,从图5的视图中有意地省略了砧座(18)。With the end effector (12) closed as shown in FIGS. Slot (42) to advance firing beam (14) into engagement with anvil (18). A push block (80) (shown in FIG. 5 ) located at the distal end of the firing beam (14) is configured to engage the wedge slide (41) such that when the firing trigger (28) is actuated , when the firing beam (14) advances distally through the staple cartridge (37), the push block (80) pushes the wedge-shaped slide (41) distally. During such a firing, the cutting edge (48) of the firing beam (14) enters the vertical slot (49) of the staple cartridge (37), thereby severing the staple clamped between the staple cartridge (37) and the anvil (18). organization. As shown in Figures 4A-4B, the intermediate pin (46) and push block (80) actuate the staple cartridge (37) together by entering the slot (49) in the staple cartridge (37) to move the wedge sled (41) is driven into upward jacking contact with the staple driver (43), which in turn drives the staples (47) outward through the staple holes (51) and forms the staples with the staples on the inner surface of the anvil (18) Dimples (53) (shown in Figure 3) form contacts. Figure 4B shows the firing beam (14) fully translated distally after the tissue has been severed and stapled. It should also be understood that the staple forming pockets (53) have been intentionally omitted from the view in Figures 4A-4B; however, the staple forming pockets (53) are shown in Figure 3 . It should also be understood that the anvil ( 18 ) has been intentionally omitted from the view of FIG. 5 .
图7示出了已通过单个行程被致动穿过组织(T)的层(L1、L2)的端部执行器(12)。如图所示,切割刃(48)(图7中被遮住)已切穿组织(T),同时钉驱动器(43)已驱动三排交替的钉(47)穿过由切割刃(48)产生的切割线的每一侧上的组织(T)。在此示例中,钉(47)全部与切割线基本上平行地取向,但应当理解,钉(47)可以任何合适的取向定位。在本示例中,在第一行程完成后,端部执行器(12)从套管针或切口撤回,用新钉仓替换已空钉仓(37),然后,端部执行器(12)再次插入穿过套管针或切口而到达缝合位点以进行进一步的切割和缝合。该过程可重复进行,直到已提供期望数量的切口和钉(47)。砧座(18)可需要被闭合以有利于通过套管针插入和撤回;并且砧座(18)可需要被打开以有利于替换钉仓(37)。Figure 7 shows the end effector (12) having been actuated through a layer ( L1 , L2 ) of tissue (T) with a single stroke. As shown, cutting edge (48) (obscured in Figure 7) has cut through tissue (T) while staple driver (43) has driven three rows of alternating staples (47) through Tissue (T) on each side of the resulting cut line. In this example, the staples (47) are all oriented substantially parallel to the cutting line, but it should be understood that the staples (47) may be positioned in any suitable orientation. In this example, after the first stroke is complete, the end effector (12) is withdrawn from the trocar or incision, the empty staple cartridge (37) is replaced with a new staple cartridge, and then the end effector (12) is again Inserted through the trocar or incision to the suture site for further cutting and suturing. This process can be repeated until the desired number of incisions and staples (47) have been provided. Anvil (18) may need to be closed to facilitate insertion and withdrawal by a trocar; and anvil (18) may need to be opened to facilitate replacement of staple cartridge (37).
在一些型式中,器械(10)提供对击发梁(14)的机动化控制。仅以举例的方式,此类机动化可根据以下美国专利的教导内容中的至少一些教导内容提供:2017年4月18日公开的名称为“Distal Tip Features for End Effector of Surgical Instrument”的美国专利9,622,746号,该专利的公开内容以引用方式全文并入本文;以及/或者2012年7月3日发布的名称为“Motor-Driven Surgical Instrument”的美国专利8,210,411号,该专利的公开内容以引用方式全文并入本文。根据本文的教导内容,用于提供击发梁(14)的机动的其他合适的部件、特征部和构型对本领域中那些技术人员而言将显而易见。还应当理解,一些其它型式可提供对击发梁(14)的手动驱动,使得马达可被省略。In some versions, instrument (10) provides motorized control of firing beam (14). By way of example only, such motorization may be provided in accordance with at least some of the teachings of the following U.S. Patent: U.S. Patent, published Apr. 18, 2017, entitled "Distal Tip Features for End Effector of Surgical Instrument" 9,622,746, the disclosure of which is incorporated herein by reference in its entirety; and/or U.S. Patent 8,210,411, issued July 3, 2012, entitled "Motor-Driven Surgical Instrument," the disclosure of which is incorporated by reference The entire text is incorporated herein. Other suitable components, features, and configurations for providing maneuvering of firing beam (14) will be apparent to those skilled in the art in view of the teachings herein. It should also be understood that some other versions may provide manual drive to the firing beam (14), so that the motor may be omitted.
II.具有仓壁支撑特征部和多个表面光洁度的示例性滑动件II. Exemplary Slides with Bin Wall Support Features and Multiple Surface Finishes
在一些情况下,可能期望提供楔形滑动件,该楔形滑动件被构造成能够通过支撑和/或稳定邻近楔形滑动件的仓体(70)的壁来向钉仓(37)提供刚度,由此在将组织夹紧在钉仓(37)与砧座(18)之间期间和/或在击发期间促进钉孔(51)与对应钉成形凹坑(53)之间的对准。除此之外或另选地,可能期望提供具有多个不同表面光洁度(也称为“表面纹理”或“表面形貌”)的楔形滑动件。此类多个不同表面光洁度可允许经由一定过程制造的楔形滑动件,该过程将初始的、相对粗糙的表面光洁度赋予整个楔形滑动件的表面以具有设置有最终的、相对平滑的表面光洁度的选定表面,使得选定表面可与钉仓(37)的对应部分(诸如钉驱动器(43))平滑地相互作用。图8至图10示出了提供此类功能的示例性楔形滑动件(110)。楔形滑动件(110)类似于上述楔形滑动件(41),不同之处如下文另外所述。例如,楔形滑动件(110)在钉仓(37)内纵向占据与楔形滑动件(41)相同的空间量,从而使楔形滑动件(110)与楔形滑动件(41)基本上可互换。In some cases, it may be desirable to provide a wedge sled configured to provide stiffness to the staple cartridge (37) by supporting and/or stabilizing the walls of the cartridge body (70) adjacent the wedge sled, thereby Alignment between staple holes (51 ) and corresponding staple forming pockets (53) is facilitated during clamping of tissue between staple cartridge (37) and anvil (18) and/or during firing. Additionally or alternatively, it may be desirable to provide wedge slides with a plurality of different surface finishes (also referred to as "surface texture" or "surface topography"). Such multiple different surface finishes may allow wedge slides to be manufactured through a process that imparts an initial, relatively rough surface finish to the surface of the entire wedge slide with the option of providing a final, relatively smooth surface finish. The surface is fixed so that the selected surface can interact smoothly with a corresponding portion of the staple cartridge (37), such as the staple driver (43). Figures 8-10 illustrate an exemplary wedge slide (110) that provides such functionality. The wedge slide (110) is similar to the wedge slide (41) described above, except as further described below. For example, wedge sled (110) occupies the same amount of space longitudinally within staple cartridge (37) as wedge sled (41), thereby rendering wedge sled (110) substantially interchangeable with wedge sled (41).
该示例的楔形滑动件(110)包括基部,该基部包括基部平台(112)和从基部平台(112)向上延伸的中心凸起平台(114)。在所示的示例中,基部平台(112)具有基本上平坦的底表面(116),该底表面限定水平平面并且被构造成能够在楔形滑动件(110)纵向移动通过钉仓(37)时沿托盘(74)纵向滑动。基部平台(112)还具有平行于底表面(116)的横向相对的一对基本上平坦的顶表面(118),并且凸起平台(114)类似地具有平行于底表面(116)的横向相对的一对基本上平坦的顶表面(120)。如图10最佳所示,顶表面(118,120)被构造成能够面对和/或可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应底表面,由此在楔形滑动件(110)纵向移动通过钉仓(37)时竖直地支撑对应壁(71)。The wedge slide (110) of this example includes a base including a base platform (112) and a central raised platform (114) extending upwardly from the base platform (112). In the example shown, base platform (112) has a substantially planar bottom surface (116) that defines a horizontal plane and is configured to enable the wedge sled (110) to move longitudinally through staple cartridge (37). Slide along the tray (74) lengthwise. Base platform (112) also has a pair of laterally opposed substantially planar top surfaces (118) parallel to bottom surface (116), and raised platform (114) similarly has laterally opposed pairs parallel to bottom surface (116). A pair of substantially planar top surfaces (120). As best shown in Figure 10, the top surfaces (118, 120) are configured to face and/or slidably contact or otherwise engage a corresponding bottom surface of a corresponding wall (71) of the cartridge body (70), thereby Wedge sled (110) vertically supports counter wall (71) as it moves longitudinally through cartridge (37).
本型式的基部还包括:下倒角(122),该下倒角从底表面(116)的远侧端部向上和朝远侧倾斜到基部平台(112)的外和内远侧端部;一对外上倒角(124),该对外上倒角从基部平台(112)的顶表面(118)的相应远侧端部向下和朝远侧倾斜到基部平台(112)的外远侧端部;和一对内上倒角(126),该对内上倒角从凸起平台(114)的顶表面(120)的相应远侧端部向下和朝远侧倾斜到基部平台(112)的内远侧端部。倒角(122,124,126)也可被称为“渐缩表面”或“斜面”。下倒角(122)可跨基部平台(112)的宽度延伸并且可具有比基部平台(112)的厚度大的长度(例如,在底表面(116)与任一顶表面(118)之间)。同样地,外上倒角(124)可各自具有比基部平台(112)的厚度大的长度。下倒角(122)可被构造成能够通过减小基部平台(112)的远侧端部接住托盘(74)或以其他方式被该托盘阻挡的可能性来促进楔形滑动件(110)在远侧方向上通过钉仓(37)的不受阻碍的纵向移动。例如,当楔形滑动件(110)被朝远侧驱动通过钉仓(37)时,下倒角(122)可略微向下推动托盘(74)(其可由柔性材料构造)远离仓体(70)的壁(71)的底表面。在一些型式中,可省略倒角(122,124,126)中的任何一者或多者。例如,倒角(122,124,126)中的任何一者或多者可由一个或多个相应圆角代替。The base of this version also includes: a lower chamfer (122) that slopes upwardly and distally from the distal end of the bottom surface (116) to the outer and inner distal ends of the base platform (112); A pair of outer upper chamfers (124) slope downwardly and distally from respective distal ends of the top surface (118) of the base platform (112) to outer distal ends of the base platform (112) and a pair of inner upper chamfers (126) that slope downwardly and distally from respective distal ends of the top surface (120) of the raised platform (114) to the base platform (112 ) at the inner distal end. The chamfers (122, 124, 126) may also be referred to as "tapered surfaces" or "bevels". Lower chamfer (122) may extend across the width of base platform (112) and may have a length greater than the thickness of base platform (112) (e.g., between bottom surface (116) and either top surface (118)) . Likewise, outer upper chamfers (124) may each have a length greater than the thickness of base platform (112). Lower chamfer (122) can be configured to facilitate wedge sled (110) in the position by reducing the possibility of the distal end of base platform (112) catching tray (74) or otherwise being blocked by the tray. Unimpeded longitudinal movement of the staple cartridge (37) in the distal direction. For example, when wedge sled (110) is driven distally through staple cartridge (37), lower chamfer (122) may push tray (74) (which may be constructed of a flexible material) downward slightly away from cartridge body (70) The bottom surface of the wall (71). In some versions, any one or more of the chamfers (122, 124, 126) may be omitted. For example, any one or more of the chamfers (122, 124, 126) may be replaced by one or more corresponding fillets.
楔形滑动件(110)还包括从基部平台(112)向上延伸的横向相对的一对外滑动件导轨(130),以及从基部平台(112)和凸起平台(114)两者向上延伸的横向相对的一对内滑动件导轨(132)。滑动件导轨(130,132)也可称为“凸轮斜坡”或“凸轮楔形件”。本型式的滑动件导轨(130,132)从基部平台(112)和凸起平台(114)的相应顶表面(118,120)基本上笔直且直立地延伸,使得滑动件导轨(130,132)相对于水平平面垂直地取向并且平行于竖直-纵向平面。在所示的示例中,内滑动件导轨(132)与相邻的外滑动件导轨(130)横向间隔开以限定基部平台(112)的顶表面(118)。在这点上,基部平台(112)的顶表面(118)各自至少部分地沿着滑动件导轨(130,132)的长度延伸,并且凸起平台(114)的顶表面(120)各自至少部分地沿着相应内滑动件导轨(132)的长度延伸。本型式的外滑动件导轨(130)各自具有相对于基部平台(112)的底表面(116)的第一高度,而内滑动件导轨(132)各自具有相对于基部平台(112)的底表面(116)的小于第一高度的第二高度。同样在所示的示例中,外和内滑动件导轨(130,132)各自朝近侧终止在相同纵向位置处(例如,在基部平台(112)的近侧端部处),而外滑动件导轨(130)各自朝远侧终止在第一纵向位置处,并且内滑动件导轨(132)各自朝远侧终止在相对于第一纵向位置在远侧的第二纵向位置处,使得外滑动件导轨(130)各自具有第一长度并且内滑动件导轨(132)各自具有大于第一长度的第二长度。因此,外滑动件导轨(130)的远侧端部在纵向方向上彼此对准,并且内滑动件导轨(132)的远侧端部在纵向方向上彼此对准并从外滑动件导轨(130)的远侧端部偏移。The wedge slide (110) also includes a pair of laterally opposite outer slide rails (130) extending upwardly from the base platform (112), and laterally opposing pair of outer slide rails (130) extending upwardly from both the base platform (112) and the raised platform (114). A pair of inner slide rails (132). The slider guides (130, 132) may also be referred to as "cam ramps" or "cam wedges". The slider guides (130, 132) of the present version extend substantially straight and upright from the respective top surfaces (118, 120) of the base platform (112) and raised platform (114) such that the slider guides (130, 132) are perpendicular to the horizontal plane. oriented and parallel to the vertical-longitudinal plane. In the example shown, inner slider rails (132) are laterally spaced from adjacent outer slider rails (130) to define a top surface (118) of base platform (112). In this regard, the top surfaces (118) of the base platforms (112) each extend at least partially along the length of the slider rails (130, 132), and the top surfaces (120) of the raised platforms (114) each extend at least partially along the length of the slider rails (130, 132). Extends the length of the corresponding inner slide rail (132). The outer slider rails (130) of the present version each have a first height relative to the bottom surface (116) of the base platform (112), while the inner slider rails (132) each have a first height relative to the bottom surface of the base platform (112) (116) A second height less than the first height. Also in the example shown, the outer and inner slider rails (130, 132) each terminate proximally at the same longitudinal location (e.g., at the proximal end of the base platform (112)), while the outer slider rails ( 130) each terminate distally at a first longitudinal position, and the inner slider rails (132) each terminate distally at a second longitudinal position distal relative to the first longitudinal position such that the outer slider rails ( 130) each have a first length and the inner slider rails (132) each have a second length greater than the first length. Thus, the distal ends of the outer slider rails (130) are aligned with each other in the longitudinal direction, and the distal ends of the inner slider rails (132) are aligned with each other in the longitudinal direction and extend from the outer slider rails (130). ) is offset at the distal end.
如图10最佳所示,滑动件导轨(130,132)被构造成能够被接收在仓体(70)的对应纵向延伸狭槽(73)内,并且被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应侧表面,由此在楔形滑动件(110)纵向移动通过钉仓(37)时水平地稳定壁(71)。例如,外和内滑动件导轨(130,132)可抑制壁(71)的横向向内和/或横向向外偏转(例如,弯曲)。在这点上,滑动件导轨(130,132)可各自具有等于或略小于对应狭槽(73)的宽度的厚度。在一些型式中,滑动件导轨(130,132)可附加地或另选地被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应狭槽(73)的相应上狭槽表面,由此在楔形滑动件(110)纵向移动通过钉仓(37)时竖直地支撑上部平台(72)。As best shown in Figure 10, the slider guides (130, 132) are configured to be received within corresponding longitudinally extending slots (73) of the cartridge body (70) and are configured to slidably contact or otherwise Respective side surfaces of corresponding walls (71 ) of cartridge body (70) are engaged, thereby stabilizing walls (71 ) horizontally as wedge sled (110) moves longitudinally through cartridge (37). For example, outer and inner slider rails (130, 132) may inhibit lateral inward and/or lateral outward deflection (eg, bending) of wall (71). In this regard, slider rails (130, 132) may each have a thickness equal to or slightly less than the width of the corresponding slot (73). In some versions, the slider guides (130, 132) may additionally or alternatively be configured to slidably contact or otherwise engage respective upper slot surfaces of corresponding slots (73) of the cartridge body (70), Upper deck (72) is thereby supported vertically as wedge sled (110) moves longitudinally through staple cartridge (37).
楔形滑动件(110)的每个滑动件导轨(130,132)呈现一个或多个相应倾斜凸轮表面(140,142,144,146),其用于在楔形滑动件(110)被朝远侧驱动通过钉仓(37)时向上提升钉驱动器(43)以向外驱动对应钉(47)通过对应钉孔(51)。在所示的示例中,每个外滑动件导轨(130)包括相对于由底表面(116)限定的水平平面以第一角度取向的前凸轮表面(140)和相对于水平平面以第二角度取向的后凸轮表面(142),使得外滑动件导轨(130)具有彼此相同的侧立面轮廓。同样地,每个内滑动件导轨(132)包括相对于水平平面以第一角度取向的前凸轮表面(144)和相对于水平平面以第三角度取向的后凸轮表面(146),使得内滑动件导轨(132)具有彼此相同的侧立面轮廓和与外滑动件导轨(130)的立面轮廓不同的立面轮廓。因此,楔形滑动件(110)可关于竖直-纵向平面(至少相对于滑动件导轨(130,132)的构型)基本上对称。Each sled track (130, 132) of wedge sled (110) presents one or more corresponding ramped cam surfaces (140, 142, 144, 146) for use as wedge sled (110) is driven distally through staple cartridge (37) The staple driver (43) is lifted upwards to drive the corresponding staple (47) outward through the corresponding staple hole (51). In the example shown, each outer slider rail (130) includes a front cam surface (140) oriented at a first angle relative to a horizontal plane defined by bottom surface (116) and a second angled relative to the horizontal plane. The rear cam surfaces (142) are oriented such that the outer slider rails (130) have the same side elevation profile as one another. Likewise, each inner slider guide (132) includes a front cam surface (144) oriented at a first angle relative to the horizontal plane and a rear cam surface (146) oriented at a third angle relative to the horizontal plane such that the inner slide The member rails (132) have the same side elevation profile as each other and a different elevation profile than that of the outer slider rail (130). Thus, wedge slide (110) may be substantially symmetrical about a vertical-longitudinal plane (at least with respect to the configuration of slide rails (130, 132)).
在本型式中,第一角度大于第二角度,该第二角度大于第三角度。另选地,可使用任何其他合适的相对角度。在所示的示例中,上倒角(124,126)也相对于水平平面以第一角度取向,使得外滑动件导轨(130)的每个前凸轮表面(140)与相应外上倒角(124)无缝地邻接(并且具有与其重叠的侧立面轮廓)以共同限定单个连续表面,并且使得内滑动件导轨(132)的每个前凸轮表面(144)与相应内上倒角(126)无缝地邻接(并且具有与其重叠的侧立面轮廓)以共同限定另一单个连续表面。In this version, the first angle is greater than the second angle, which is greater than the third angle. Alternatively, any other suitable relative angle may be used. In the example shown, upper chamfers (124, 126) are also oriented at a first angle relative to the horizontal plane such that each front cam surface (140) of outer slider rail (130) is aligned with a corresponding outer upper chamfer (124) seamlessly adjoin (and have side elevation profiles overlapping therewith) to jointly define a single continuous surface, and such that each front cam surface (144) of the inner slider rail (132) is free from a corresponding inner upper chamfer (126) seamly adjoining (and having a side elevation profile overlapping therewith) to jointly define another single continuous surface.
楔形滑动件(110)还包括中心鼻部(150),该中心鼻部在内滑动件导轨(132)之间从凸起平台(114)向上延伸并且还从凸起平台(114)和基部平台(112)两者朝远侧延伸到远侧尖端(152)。在所示的示例中,中心鼻部(150)与每个内滑动件导轨(132)横向间隔开以限定凸起平台(114)的顶表面(120)。更具体地,中心鼻部(150)与内滑动件导轨(132)等距间隔开。本型式的中心鼻部(150)包括从基部平台(114)和凸起平台(154)两者朝远侧延伸到远侧尖端(152)的下部部分(154),以及从凸起平台(112)和下部部分(114)两者向上延伸的上部部分(156)。The wedge slide (110) also includes a central nose (150) extending upwardly from the raised platform (114) between the inner slide rails (132) and also from the raised platform (114) and the base platform. (112) both extend distally to distal tip (152). In the example shown, central nose (150) is laterally spaced from each inner slider rail (132) to define a top surface (120) of raised platform (114). More specifically, central nose (150) is equidistantly spaced from inner slider rail (132). The central nose (150) of the present version includes a lower portion (154) extending distally from both the base platform (114) and the raised platform (154) to the distal tip (152), and from the raised platform (112). ) and the upper portion (156) extending upwardly from both the lower portion (114).
如图9最佳所示,本型式的中心鼻部(150)的下部部分(154)包括从远侧尖端向下且朝近侧倾斜到基部平台(112)的下倒角(122)的渐缩底表面(160)。渐缩底表面(160)可被构造成能够通过减小远侧尖端(152)接住托盘(74)或以其他方式被该托盘阻挡的可能性来促进楔形滑动件(110)在远侧方向上通过钉仓(37)的不受阻碍的纵向移动。例如,当楔形滑动件(110)被朝远侧驱动通过钉仓(37)时,渐缩底表面(160)可略微向下推动托盘(74)(其可由柔性材料构造)远离仓体(70)的壁(71)的底表面。在所示的示例中,渐缩底表面(160)相对于由底表面(116)限定的水平平面以与下倒角(122)相同的角度进行取向,使得渐缩底表面(160)与下倒角(122)无缝地邻接以共同限定单个连续倒角,从而用于进一步促进楔形滑动件(110)在远侧方向上通过钉仓(37)的不受阻碍的纵向移动。在一些型式中,可省略渐缩底表面(160)。例如,渐缩底表面(160)可由一个或多个相应圆角代替。As best shown in Figure 9, the lower portion (154) of the central nose (150) of this version includes a gradual slope from the distal tip down and proximally to the lower chamfer (122) of the base platform (112). Reduced bottom surface (160). Tapered bottom surface (160) can be configured to facilitate wedge-shaped slide (110) in the distal direction by reducing the likelihood of distal tip (152) catching tray (74) or otherwise being blocked by the tray. Unhindered longitudinal movement through the staple cartridge (37). For example, when wedge sled (110) is driven distally through staple cartridge (37), tapered bottom surface (160) may push tray (74) (which may be constructed of a flexible material) downward slightly away from cartridge body (70). ) of the bottom surface of the wall (71). In the example shown, tapered bottom surface (160) is oriented at the same angle as bottom chamfer (122) relative to a horizontal plane defined by bottom surface (116) such that tapered bottom surface (160) is Chamfers (122) seamlessly adjoin to collectively define a single continuous chamfer for further facilitating unhindered longitudinal movement of wedge sled (110) through staple cartridge (37) in the distal direction. In some versions, tapered bottom surface (160) may be omitted. For example, the tapered bottom surface (160) may be replaced by one or more corresponding rounded corners.
本型式的中心鼻部(150)的上部部分(156)基本上垂直于由底表面(116)限定的水平平面。如图所示,上部部分(156)从凸起平台(114)的近侧端部纵向延伸到远侧尖端(152),使得上部部分(156)至少部分地相对于基部平台(112)的远侧端部并相对于滑动件导轨(130,132)的远侧端部朝远侧定位,并且使得上部部分(156)至少部分地沿着每个滑动件导轨(130,132)的长度延伸。The upper portion (156) of the central nose (150) of this version is substantially perpendicular to the horizontal plane defined by the bottom surface (116). As shown, upper portion (156) extends longitudinally from the proximal end of raised platform (114) to distal tip (152) such that upper portion (156) is at least partially opposed to the distal end of base platform (112). The side ends are positioned distally relative to the distal ends of the slider rails (130, 132) and such that the upper portion (156) extends at least partially along the length of each slider rail (130, 132).
在所示的示例中,中心鼻部(150)的下部部分(154)在上部部分(156)的相对侧上相对于上部部分(156)横向向外延伸以限定从凸起平台(114)的相应顶表面(120)纵向延伸到远侧尖端(152)的横向相对的一对面向上的凸缘表面(162)。更具体地,凸缘表面(162)是基本上平坦的,平行于由底表面(116)限定的水平平面,并且相对于底表面(116)定位在与凸起平台(114)的顶表面(120)相同的高度处,使得凸缘表面(162)与凸起平台(114)的相应顶表面(120)无缝地邻接以共同限定相应单个连续表面。如图所示,每个凸缘表面(162)至少部分地相对于基部平台(112)的远侧端部并且相对于滑动件导轨(130,132)的远侧端部朝远侧定位。In the example shown, the lower portion (154) of the central nose (150) extends laterally outward relative to the upper portion (156) on opposite sides of the upper portion (156) to define a distance from the raised platform (114). Respective top surfaces (120) extend longitudinally to a pair of laterally opposing upwardly facing flange surfaces (162) of distal tip (152). More specifically, flange surface (162) is substantially planar, parallel to a horizontal plane defined by bottom surface (116), and is positioned relative to bottom surface (116) in relation to the top surface (114) of raised platform (114). 120) at the same height such that flange surface (162) seamlessly adjoins corresponding top surface (120) of raised platform (114) to jointly define a corresponding single continuous surface. As shown, each flange surface (162) is positioned at least partially distally relative to the distal end of base platform (112) and relative to the distal end of slider rails (130, 132).
如图10最佳所示,中心鼻部(150)被构造成能够至少部分地接收在钉仓(37)的竖直狭槽(49)内。在一些型式中,中心鼻部(150)被构造成能够可滑动地接触或以其他方式接合仓体(70)的内壁(71),由此在楔形滑动件(110)纵向移动通过钉仓(37)时竖直地支撑和/或水平地稳定内壁(71)。在这点上,本型式的凸缘表面(162)面对并可滑动地接触或以其他方式接合内壁(71)的相应下表面,由此在楔形滑动件(110)纵向地移动通过钉仓(37)时竖直地支撑内壁(71)。此外,本型式的上部部分(156)可滑动地接触或以其他方式接合内壁(71)的横向向内表面,由此在楔形滑动件(110)纵向移动通过钉仓(37)时水平地稳定内壁(71)。例如,上部部分(156)可抑制内壁(71)的横向向内偏转(例如,弯曲)。在这点上,上部部分(156)可具有等于或略小于竖直狭槽(49)的宽度的厚度,而下部部分(154)可具有大于竖直狭槽(49)的宽度的厚度。As best shown in Figure 10, central nose (150) is configured to be at least partially received within vertical slot (49) of staple cartridge (37). In some versions, central nose (150) is configured to slidably contact or otherwise engage inner wall (71) of cartridge body (70), thereby moving longitudinally through wedge-shaped sled (110) through staple cartridge ( 37) supports vertically and/or stabilizes the inner wall (71) horizontally. In this regard, flange surface (162) of the present version faces and slidably contacts or otherwise engages a corresponding lower surface of inner wall (71), thereby moving longitudinally through the staple cartridge as wedge-shaped sled (110) (37) supports the inner wall (71) vertically. Additionally, upper portion (156) of the present version slidably contacts or otherwise engages the laterally inward surface of inner wall (71), thereby stabilizing horizontally as wedge sled (110) moves longitudinally through staple cartridge (37). inner wall (71). For example, upper portion (156) can inhibit lateral inward deflection (eg, bending) of inner wall (71). In this regard, the upper portion (156) may have a thickness equal to or slightly less than the width of the vertical slot (49), while the lower portion (154) may have a thickness greater than the width of the vertical slot (49).
由于中心鼻部(150)的每个凸缘表面(162)至少部分地相对于滑动件导轨(130,132)的远侧端部朝远侧定位,因此当楔形滑动件(110)纵向移动通过钉仓(37)时,凸缘表面(162)可将仓体(70)的内壁(71)竖直地支撑在相对于滑动件导轨(130,132)在远侧的纵向位置处。同样地,由于上部部分(156)至少部分地相对于滑动件导轨(130,132)的远侧端部朝远侧定位,因此当楔形滑动件(110)纵向移动通过钉仓(37)时,上部部分(156)可将仓体(70)的内壁(71)水平地稳定在相对于滑动件导轨(130,132)在远侧的纵向位置处。以这种方式,在对应滑动件导轨(130,132)提升对应钉驱动器(43)以向外驱动对应钉(47)通过钉孔(51)之前(例如,至少紧接在其之前),中心鼻部(150)可沿仓体(70)的长度在对应于每个钉孔(51)的纵向位置处向仓体(70)提供竖直支撑和/或水平稳定性。通过在提升钉驱动器(43)以在此类纵向位置处向外驱动钉(47)通过钉孔(51)之前在此类纵向位置处向仓体(70)提供竖直支撑和/或水平稳定性,在部署和成形每个钉(47)之前,中心鼻部(150)可促进每个钉孔(51)与砧座(18)的内表面上的对应钉成形凹坑(53)的适当对准。例如,中心鼻部(150)可通过辅助维持上部平台(72)基本上平行于砧座(18)的具有钉成形凹坑(53)的内表面和/或通过抑制本来可致使钉孔(51)相对于对应钉成形凹坑(53)成角度(例如,横向向内或横向向外)的内壁(71)的横向偏转来促进每个钉孔(51)与对应钉成形凹坑(53)的竖直和/或角度对准。Since each flange surface (162) of central nose (150) is at least partially positioned distally relative to the distal ends of sled rails (130, 132), when wedge-shaped sled (110) moves longitudinally through the staple cartridge (37), the flange surface (162) can vertically support the inner wall (71) of the cartridge body (70) in a distal longitudinal position relative to the slider rails (130, 132). Likewise, because upper portion (156) is at least partially positioned distally relative to the distal ends of sled rails (130, 132), when wedge-shaped sled (110) moves longitudinally through staple cartridge (37), the upper portion (156) can stabilize the inner wall (71) of the cartridge body (70) horizontally in a distal longitudinal position relative to the slider rails (130, 132). In this manner, the central nose portion is positioned before (e.g., at least immediately before) the corresponding staple driver (43) is lifted by the corresponding sled rail (130, 132) to drive the corresponding staple (47) outwardly through the staple hole (51 ). (150) may provide vertical support and/or horizontal stability to the cartridge body (70) at longitudinal locations along the length of the cartridge body (70) corresponding to each staple hole (51). By providing vertical support and/or horizontal stability to the cartridge body (70) at such longitudinal positions prior to lifting the staple drivers (43) to drive the staples (47) outwardly through the staple holes (51) at such longitudinal positions The central nose (150) facilitates proper alignment of each staple hole (51) with the corresponding staple forming pocket (53) on the inner surface of the anvil (18) prior to deployment and forming of each staple (47). alignment. For example, the central nose (150) can be used by assisting in maintaining the upper platform (72) substantially parallel to the inner surface of the anvil (18) having the staple forming pocket (53) and/or by inhibiting what would otherwise result in the staple hole (51). ) relative to the corresponding staple forming pocket (53) angled (e.g., laterally inward or laterally outward) of the inner wall (71) to facilitate the alignment of each staple hole (51) with the corresponding staple forming pocket (53) vertical and/or angular alignment.
此外,由于基部平台(112)和凸起平台(114)的顶表面(118,120)各自至少部分地沿着相应滑动件导轨(130,132)的长度延伸,因此顶表面(118,120)可将仓体(70)的对应壁(71)竖直地支撑在滑动件导轨(130,132)在楔形滑动件(110)纵向移动通过钉仓(37)时所位于的相同纵向位置处。以这种方式,与对应滑动件导轨(130,132)提升对应钉驱动器(43)以向外驱动对应钉(47)通过钉孔(51)基本上同时(例如,在其持续时间的至少一部分期间),基部平台(112)和/或凸起平台(114)可沿着仓体(70)的长度在对应于每个钉孔(51)的纵向位置处向仓体(70)提供竖直支撑。In addition, because the top surfaces (118, 120) of the base platform (112) and raised platform (114) each extend at least partially along the length of the corresponding slider track (130, 132), the top surfaces (118, 120) can hold the cartridge body (70) ) are vertically supported at the same longitudinal position where the sled guides (130, 132) are located when the wedge-shaped sled (110) moves longitudinally through the staple cartridge (37). In this manner, the corresponding staple driver (43) is lifted by the corresponding sled rail (130, 132) to drive the corresponding staple (47) outwardly through the staple hole (51) substantially simultaneously (e.g., during at least a portion of its duration) The base platform (112) and/or raised platform (114) may provide vertical support to the cartridge body (70) along the length of the cartridge body (70) at longitudinal locations corresponding to each staple hole (51).
通过与提升钉驱动器(43)以在此类纵向位置处向外驱动钉(47)通过钉孔(51)基本上同时地在此类纵向位置处向仓体(70)提供竖直支撑,在部署和成形每个钉(47)时,基部平台(112)和/或凸起平台(114)可促进每个钉孔(51)与砧座(18)的内表面上的对应钉成形凹坑(53)的适当对准。例如,基部平台(112)和/或凸起平台(114)可通过辅助维持上部平台(72)基本上平行于砧座(18)的具有钉成形凹坑(53)的内表面来促进每个钉孔(51)与对应钉成形凹坑(53)的竖直和/或角度对准。由于凸起平台(114)的顶表面(120)与相应凸缘表面(162)无缝地邻接,因此中心鼻部(150)和凸起平台(114)可协作地促进每个钉孔(51)与砧座(18)的内表面上的对应钉成形凹坑(53)从至少紧接在部署和成形每个钉(47)之前到部署和成形每个钉(47)完成的连续适当对准。By providing vertical support to the cartridge body (70) at such longitudinal positions substantially simultaneously with lifting the staple drivers (43) to drive the staples (47) outwardly through the staple holes (51) at such longitudinal positions, the As each staple (47) is deployed and formed, the base platform (112) and/or raised platform (114) may facilitate each staple hole (51) with a corresponding staple forming dimple on the inner surface of the anvil (18) Proper alignment of (53). For example, base platform (112) and/or raised platform (114) can facilitate each by assisting in maintaining upper platform (72) substantially parallel to the inner surface of anvil (18) having staple forming pockets (53). The staple holes (51 ) are vertically and/or angularly aligned with the corresponding staple forming pockets (53). Since the top surface (120) of the raised platform (114) seamlessly adjoins the corresponding flange surface (162), the central nose (150) and the raised platform (114) can cooperate to facilitate each nail hole (51 ) with corresponding staple forming pockets (53) on the inner surface of the anvil (18) from at least immediately prior to deploying and forming each staple (47) to the completion of the deployment and forming of each staple (47). allow.
此外,由于中心鼻部(150)的上部部分(156)至少部分地沿着每个滑动件导轨(130,132)的长度延伸,因此上部部分(156)可将仓体(70)的壁(71)水平地稳定在滑动件导轨(130,132)在楔形滑动件(110)纵向移动通过钉仓(37)时所位于的相同纵向位置处。以这种方式,与对应滑动件导轨(130,132)提升对应钉驱动器(43)以向外驱动对应钉(47)通过钉孔(51)基本上同时(例如,在其持续时间的至少一部分期间),中心鼻部(150)可沿着仓体(70)的长度在对应于每个钉孔(51)的纵向位置处向仓体(70)提供水平稳定性。通过与提升钉驱动器(43)以在此类纵向位置处向外驱动钉(47)通过钉孔(51)基本上同时地在此类纵向位置处向仓体(70)提供水平稳定性,在部署和成形每个钉(47)的同时,中心鼻部(150)可促进每个钉孔(51)与砧座(18)的内表面上的对应钉成形凹坑(53)的适当对准。例如,中心鼻部(150)可通过抑制本来可致使钉孔(51)相对于对应钉成形凹坑(53)成角度(例如,横向向内或横向向外)的内壁(71)的横向偏转来促进每个钉孔(51)与对应钉成形凹坑(53)的竖直和/或角度对准。如上所讨论,滑动件导轨(130,132)自身可将仓体(70)的对应壁(71)水平地稳定在它们相应纵向位置处,并且因此还可通过抑制本来可致使钉孔(51)相对于对应钉成形凹坑(53)成角度(例如,横向向内或横向向外)的内壁(71)的横向偏转来促进每个钉孔(51)与对应钉成形凹坑(53)的竖直和/或角度对准。因此,当楔形滑动件(110)纵向移动通过钉仓(37)时,中心鼻部(150)和滑动件导轨(130,132)可在每个滑动件导轨(130,132)的相应纵向位置处协作地向仓体(70)提供水平稳定性。应当理解,从图10的视图中有意地省略了砧座(18)。In addition, since the upper portion (156) of the central nose (150) extends at least partially along the length of each slider track (130, 132), the upper portion (156) can draw the wall (71) of the cartridge body (70) Stabilized horizontally at the same longitudinal position that sled guides (130, 132) are in when wedge sled (110) moves longitudinally through cartridge (37). In this manner, the corresponding staple driver (43) is lifted by the corresponding sled rail (130, 132) to drive the corresponding staple (47) outwardly through the staple hole (51) substantially simultaneously (e.g., during at least a portion of its duration) The central nose (150) can provide horizontal stability to the cartridge body (70) along the length of the cartridge body (70) at longitudinal positions corresponding to each staple hole (51). By providing horizontal stability to the cartridge body (70) at such longitudinal positions substantially simultaneously with lifting the staple drivers (43) to drive the staples (47) outwardly through the staple holes (51) at such longitudinal positions, While each staple (47) is being deployed and formed, the central nose (150) can facilitate proper alignment of each staple hole (51) with the corresponding staple forming pocket (53) on the inner surface of the anvil (18) . For example, the central nose (150) may act by inhibiting lateral deflection of the inner wall (71) that would otherwise cause the staple hole (51) to be angled (e.g., laterally inward or laterally outward) relative to the corresponding staple forming pocket (53). to facilitate vertical and/or angular alignment of each staple hole (51) with the corresponding staple forming pocket (53). As discussed above, the slider guides (130, 132) themselves can horizontally stabilize the corresponding walls (71) of the cartridge body (70) in their respective longitudinal positions, and thus also by inhibiting the Lateral deflection of the inner wall (71) that is angled (e.g., laterally inward or laterally outward) to the corresponding staple forming pocket (53) to facilitate vertical alignment of each staple hole (51) with the corresponding staple forming pocket (53) and/or angular alignment. Accordingly, as wedge sled (110) moves longitudinally through staple cartridge (37), central nose (150) and sled rails (130, 132) may cooperatively move toward each other at the respective longitudinal positions of each sled rail (130, 132). The cartridge body (70) provides horizontal stability. It should be understood that the anvil ( 18 ) has been intentionally omitted from the view of FIG. 10 .
楔形滑动件(110)可由任何合适的材料或材料的组合形成,包括但不限于诸如不锈钢(例如,硬化不锈钢)或钛的金属材料。在一些型式中,楔形滑动件(110)可经由金属注射模制(MIM)过程来制造。应当理解,与例如由塑料材料形成的楔形滑动件(110)相比,此类MIM过程可向楔形滑动件(110)提供改善的压缩支撑和减小的横向偏转,并且可使得楔形滑动件(110)能够在使用(例如,夹紧和/或击发)期间向仓体(70)提供改善的竖直支撑和/或水平稳定性。例如,此类MIM过程可包括通过金属粉末和粘结剂的液体MIM原料混合将楔形滑动件(110)模制为单个整体件。MIM过程还可包括使楔形滑动件(110)经受各种类型的调节,包括但不限于清洁、热脱粘和/或烧结。Wedge slide (110) may be formed from any suitable material or combination of materials including, but not limited to, metallic materials such as stainless steel (eg, hardened stainless steel) or titanium. In some versions, wedge slide (110) may be manufactured via a metal injection molding (MIM) process. It will be appreciated that such a MIM process may provide improved compressive support and reduced lateral deflection to the wedge slide (110) as compared to, for example, a wedge slide (110) formed from a plastic material, and may allow the wedge slide ( 110) Can provide improved vertical support and/or horizontal stability to the cartridge body (70) during use (eg, clamping and/or firing). For example, such a MIM process may include molding the wedge slide (110) as a single monolithic piece by mixing liquid MIM feedstock of metal powder and binder. The MIM process may also include subjecting the wedge slide (110) to various types of conditioning including, but not limited to, cleaning, thermal debonding, and/or sintering.
在任何情况下,在MIM过程完成之后,楔形滑动件(110)的所有表面可具有初始(例如,原始MIM)表面光洁度,包括滑动件导轨(130,132)的凸轮表面(140,142,144,146)。此类初始表面光洁度可以是粗糙的、研磨的和/或粒状的,并且通常可类似于有坑砂纸的纹理。因此,楔形滑动件(110)的选定表面可被进一步调节以从选定表面细化或以其他方式移除初始表面光洁度并且向选定表面提供比初始表面光洁度相对更平滑(例如,更精细、更抛光)的最终表面光洁度。例如,滑动件导轨(130,132)的凸轮表面(140,142,144,146)可被机加工以从凸轮表面(140,142,144,146)移除初始表面光洁度并且向凸轮表面(140,142,144,146)提供此类最终表面光洁度。凸轮表面(140,142,144,146)的最终表面光洁度可促进凸轮表面(140,142,144,146)和钉驱动器(43)之间的减小的摩擦和平滑的相互作用,并且由此最小化钉驱动器(43)的由凸轮表面(140,142,144,146)接触的部分的磨损。In any event, after the MIM process is complete, all surfaces of the wedge slider (110) may have an initial (eg, raw MIM) surface finish, including the cam surfaces (140, 142, 144, 146) of the slider rails (130, 132). Such an initial surface finish may be rough, abrasive, and/or grainy, and may generally resemble the texture of pitted sandpaper. Accordingly, the selected surface of the wedge slide (110) can be further adjusted to refine or otherwise remove the initial surface finish from the selected surface and to provide the selected surface with a relatively smoother (e.g., finer) surface finish than the initial surface finish. , more polished) final surface finish. For example, the cam surfaces (140, 142, 144, 146) of the slider rails (130, 132) may be machined to remove an initial surface finish from the cam surfaces (140, 142, 144, 146) and to provide such final surface finishes to the cam surfaces (140, 142, 144, 146). The final surface finish of the cam surfaces (140, 142, 144, 146) can promote reduced friction and smooth interaction between the cam surfaces (140, 142, 144, 146) and the staple drivers (43), and thereby minimize the friction of the staple drivers (43) caused by the cam surfaces ( 140, 142, 144, 146) wear of the parts in contact.
虽然已经以凸轮表面(140,142,144,146)的形式描述了设置有最终表面光洁度的选定表面,但应当理解,楔形滑动件(110)的任何其他表面可附加地或另选地设置有最终表面光洁度。例如,底表面(116)可设置有最终表面光洁度以促进底表面(116)和托盘(74)之间的减小的摩擦和平滑的相互作用。While selected surfaces provided with a final surface finish have been described in the form of cam surfaces (140, 142, 144, 146), it should be understood that any other surface of wedge slide (110) may additionally or alternatively be provided with a final surface finish. For example, bottom surface (116) may be provided with a final surface finish to promote reduced friction and smooth interaction between bottom surface (116) and tray (74).
在一些型式中,楔形滑动件(110)的剩余的非选定表面可不被进一步调节,使得初始表面光洁度可在使用(例如,夹紧和/或击发)期间保持在非选定表面上。例如,基部平台(112)和凸起平台(114)的顶表面(118,120)和/或中心鼻部(150)的凸缘表面(162)可保持初始表面光洁度。作为另一个示例,除滑动件导轨(130,132)的凸轮表面(140,142,144,146)之外,楔形滑动件(110)的每个表面可保持初始表面光洁度。因此,楔形滑动件(110)的选定表面可具有最终表面光洁度,而楔形滑动件(110)的非选定表面可具有初始表面光洁度,使得楔形滑动件(110)可具有至少两个不同表面光洁度。In some versions, the remaining non-selected surfaces of wedge sled (110) may not be further adjusted such that the initial surface finish may remain on the non-selected surfaces during use (eg, clamping and/or firing). For example, the top surfaces (118, 120) of the base platform (112) and raised platform (114) and/or the flange surface (162) of the central nose (150) may maintain the original surface finish. As another example, each surface of wedge slide (110) may retain an initial surface finish, except for cam surfaces (140, 142, 144, 146) of slide rails (130, 132). Accordingly, selected surfaces of wedge slide (110) may have a final surface finish, while non-selected surfaces of wedge slide (110) may have an initial surface finish such that wedge slide (110) may have at least two different surfaces finish.
选定表面和非选定表面可基于钉仓(37)和/或击发梁(14)的与楔形滑动件(110)的每个单独表面相互作用的特定部件来确定。在这点上,对于楔形滑动件(110)的与钉仓(37)和/或击发梁(14)的某些预定部件相互作用的表面,可能比其他表面更期望最终表面光洁度。例如,滑动件导轨(130,132)的凸轮表面(140,142,144,146)可基于其与钉驱动器(43)的相互作用而被选择成接收最终表面光洁度,而滑动件导轨(130,132)的其余表面、基部平台(112)的顶表面(118)、凸起平台(114)的顶表面(120)和/或中心鼻部(150)的凸缘表面(162)可基于其与仓体(70)的相互作用而不被选择成接收最终表面光洁度。作为另一个示例,底表面(116)可基于其与托盘(74)的相互作用而被选择成接收最终表面光洁度,而楔形滑动件(110)的近侧端部表面可基于其与推块(80)的相互作用而不被选择成接收最终表面光洁度。Selected and non-selected surfaces may be determined based on specific components of cartridge (37) and/or firing beam (14) that interact with each individual surface of wedge sled (110). In this regard, the final surface finish may be more desirable for surfaces of wedge sled (110) that interact with certain predetermined components of cartridge (37) and/or firing beam (14) than other surfaces. For example, the camming surfaces (140, 142, 144, 146) of the sled rails (130, 132) may be selected based on their interaction with the staple drivers (43) to receive the final surface finish, while the remaining surfaces of the sled rails (130, 132), the base platform (112 ), the top surface (120) of the raised platform (114), and/or the flange surface (162) of the central nose (150) may not Selected to receive final surface finish. As another example, bottom surface (116) may be selected to receive a final surface finish based on its interaction with tray (74), while the proximal end surface of wedge-shaped slide (110) may be selected based on its interaction with push block ( 80) are not selected to receive the final surface finish.
III.具有仓壁支撑特征部、钉驱动器支撑特征部、渐缩远侧端部和多个表面光洁III. Having a Cartridge Wall Support Feature, a Staple Driver Support Feature, a Tapered Distal End, and a Multiple Surface Finish 度的示例性滑动件Exemplary sliders for degrees
在一些情况下,可能期望提供楔形滑动件,该楔形滑动件被构造成能够在完全提升钉驱动器(43)以向外驱动对应钉(47)通过对应钉孔(51)之前支撑钉驱动器(43),由此在击发期间促进钉驱动器(43)与对应钉成形凹坑(53)之间的对准。除此之外或另选地,可能期望提供楔形滑动件,该楔形滑动件被构造成能够向钉仓(37)提供刚性和/或具有如上文相对于楔形滑动件(110)讨论的多个不同表面光洁度(也称为“表面纹理”或“表面形貌”)。图11至图13示出了提供此类功能的示例性楔形滑动件(210)。楔形滑动件(210)类似于上述楔形滑动件(110),不同之处如下文另外所述。例如,楔形滑动件(210)在钉仓(37)内纵向占据与楔形滑动件(41,110)相同的空间量,从而使楔形滑动件(210)与楔形滑动件(41,110)基本上可互换。In some cases, it may be desirable to provide a wedge-shaped slide configured to support the staple driver (43) prior to fully lifting the staple driver (43) to drive the corresponding staple (47) outwardly through the corresponding staple hole (51 ). ), thereby facilitating alignment between staple drivers (43) and corresponding staple forming pockets (53) during firing. Additionally or alternatively, it may be desirable to provide a wedge sled configured to provide rigidity to the staple cartridge (37) and/or have a plurality of features as discussed above with respect to the wedge sled (110). Different surface finishes (also known as "surface texture" or "surface topography"). Figures 11-13 illustrate an exemplary wedge slide (210) that provides such functionality. The wedge slide (210) is similar to the wedge slide (110) described above, except as otherwise described below. For example, wedge sled (210) occupies the same amount of space longitudinally within staple cartridge (37) as wedge sled (41, 110), thereby rendering wedge sled (210) substantially interchangeable with wedge sled (41, 110).
该示例的楔形滑动件(210)包括基部,该基部包括基部平台(212)和从基部平台(212)向上延伸的中心凸起平台(214)。在所示的示例中,基部平台(212)具有基本上平坦的底表面(216),该底表面限定水平平面并且被构造成能够在楔形滑动件(210)纵向移动通过钉仓(37)时沿托盘(74)纵向滑动。基部平台(212)还具有平行于底表面(216)的横向相对的一对基本上平坦的顶表面(218),并且凸起平台(214)类似地具有平行于底表面(216)的横向相对的一对基本上平坦的顶表面(220)。如图13最佳所示,顶表面(218,220)被构造成能够面对和/或可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应底表面,由此在楔形滑动件(210)纵向移动通过钉仓(37)时竖直地支撑对应壁(71)。在本示例中,基部平台(212)的顶表面(218)被进一步构造成能够可滑动地接触或以其他方式接合相应钉驱动器(43),由此在楔形滑动件(210)纵向移动通过钉仓(37)时竖直地支撑相应钉驱动器(43),如下文更详细地描述。The wedge slide (210) of this example includes a base including a base platform (212) and a central raised platform (214) extending upwardly from the base platform (212). In the example shown, base platform (212) has a substantially planar bottom surface (216) that defines a horizontal plane and is configured to enable a wedge sled (210) to move longitudinally through staple cartridge (37). Slide along the tray (74) lengthwise. Base platform (212) also has a pair of laterally opposed substantially planar top surfaces (218) parallel to bottom surface (216), and raised platform (214) similarly has laterally opposed pairs parallel to bottom surface (216). A pair of substantially planar top surfaces (220). As best shown in Figure 13, the top surfaces (218, 220) are configured to face and/or slidably contact or otherwise engage a corresponding bottom surface of a corresponding wall (71) of the cartridge body (70), thereby Wedge sled (210) vertically supports counter wall (71) as it moves longitudinally through cartridge (37). In this example, the top surface (218) of the base platform (212) is further configured to slidably contact or otherwise engage a corresponding staple driver (43), thereby moving the wedge sled (210) longitudinally through the staples. Cartridges (37) vertically support respective staple drivers (43), as described in more detail below.
本型式的基部还包括:下倒角(222),该下倒角从底表面(216)的远侧端部向上且朝远侧倾斜到基部平台(212)的远侧端部;一对远侧上倒角(224),该对远侧上倒角从基部平台(212)的顶表面(218)的相应远侧端部向下和朝远侧倾斜到基部平台(212)的远侧端部;和一对近侧上倒角(226),该对近侧上倒角从凸起平台(214)的顶表面(220)的相应远侧端部向下和朝远侧倾斜到基部平台的相应顶表面(218)。倒角(222,224,226)也可被称为“渐缩表面”或“斜面”。下倒角(222)可跨基部平台(212)的宽度延伸并且可具有比基部平台(212)的厚度大的长度(例如,在底表面(216)与任一顶表面(218)之间)。同样地,远侧上倒角(224)可各自具有比基部平台(212)的厚度大的长度。下倒角(222)可被构造成能够通过减小基部平台(212)的远侧端部接住托盘(74)或以其他方式被该托盘阻挡的可能性来促进楔形滑动件(210)在远侧方向上通过钉仓(37)的不受阻碍的纵向移动。例如,当楔形滑动件(210)被朝远侧驱动通过钉仓(37)时,下倒角(222)可略微向下推动托盘(74)(其可由柔性材料构造)远离仓体(70)的壁(71)的底表面。远侧上倒角(224)可被构造成能够在楔形滑动件(210)被朝远侧驱动通过钉仓(37)时将钉驱动器(43)部分地向上提升到基部平台(212)的相应顶表面(218)上而不向外驱动对应钉(47)通过对应钉孔(51)。例如,远侧上倒角(224)可被构造成能够以凸轮方式接合钉驱动器(43)以便将钉驱动器(43)推到相应顶表面(218)上。除此之外或另选地,远侧上倒角(224)可被构造成能够在楔形滑动件(210)被朝远侧驱动通过钉仓(37)时将仓体(70)的外壁(71)略向上提升到基部平台(212)的相应顶表面(218)上。例如,远侧上倒角(224)可被构造成能够以凸轮方式接合外壁(71)以将外壁(71)推到相应顶表面(218)上,如下文更详细地描述。在一些型式中,可省略倒角(222,224,226)中的任何一者或多者。例如,倒角(222,224,226)中的任何一者或多者可由一个或多个相应圆角代替。The base of this version also includes: a lower chamfer (222) that slopes upwardly and distally from the distal end of the bottom surface (216) to the distal end of the base platform (212); a pair of distal side upper chamfers (224), the pair of distal upper chamfers slope downwardly and distally from respective distal ends of the top surface (218) of the base platform (212) to the distal end of the base platform (212) and a pair of proximal upper chamfers (226) that slope downwardly and distally from respective distal ends of the top surface (220) of the raised platform (214) to the base platform corresponding top surface (218). The chamfers (222, 224, 226) may also be referred to as "tapered surfaces" or "bevels". Lower chamfer (222) may extend across the width of base platform (212) and may have a length greater than the thickness of base platform (212) (e.g., between bottom surface (216) and either top surface (218)) . Likewise, distal upper chamfers (224) may each have a length that is greater than the thickness of base platform (212). Lower chamfer (222) can be configured to facilitate wedge sled (210) in the position by reducing the possibility of the distal end of base platform (212) catching tray (74) or otherwise being blocked by the tray. Unimpeded longitudinal movement of the staple cartridge (37) in the distal direction. For example, when wedge sled (210) is driven distally through staple cartridge (37), lower chamfer (222) may push tray (74) (which may be constructed of a flexible material) downward slightly away from cartridge body (70) The bottom surface of the wall (71). Distal upper chamfer (224) can be configured to be able to lift nail driver (43) partially upward to the corresponding surface of base platform (212) when wedge-shaped sled (210) is driven distally through nail bin (37). The corresponding pegs (47) are driven through the corresponding peg holes (51 ) on the top surface (218) without being outwardly driven. For example, distal upper chamfer (224) can be configured to cammably engage staple drivers (43) to push staple drivers (43) onto respective top surfaces (218). Additionally or alternatively, distal upper chamfer (224) may be configured to warp the outer wall of cartridge body (70) ( 71) Lift up slightly onto the corresponding top surface (218) of the base platform (212). For example, distal upper chamfer (224) may be configured to cam-engage outer wall (71) to push outer wall (71) onto corresponding top surface (218), as described in more detail below. In some versions, any one or more of the chamfers (222, 224, 226) may be omitted. For example, any one or more of the chamfers (222, 224, 226) may be replaced by one or more corresponding fillets.
楔形滑动件(210)还包括从基部平台(212)向上延伸的横向相对的一对外滑动件导轨(230),以及从基部平台(212)和凸起平台(214)两者向上延伸的横向相对的第一和第二内滑动件导轨(232,233)。滑动件导轨(230,232,233)也可称为“凸轮斜坡”或“凸轮楔形件”。本型式的滑动件导轨(230,232,233)从基部平台(212)和凸起平台(214)的相应顶表面(218,220)基本上笔直且直立地延伸,使得滑动件导轨(230,232,233)相对于水平平面垂直地取向并且平行于竖直-纵向平面。在所示的示例中,内滑动件导轨(232,233)与相邻的外滑动件导轨(230)横向间隔开以限定基部平台(212)的顶表面(218)。在这点上,基部平台(212)的顶表面(218)各自至少部分地沿着滑动件导轨(230,232,233)的长度延伸,并且凸起平台(214)的顶表面(220)各自至少部分地沿着相应内滑动件导轨(232,233)的长度延伸。此外,基部平台(212)的顶表面(218)各自至少部分地相对于滑动件导轨(230,232,233)的远侧端部朝远侧定位。本型式的外滑动件导轨(230)各自具有相对于基部平台(212)的底表面(216)的第一高度,而内滑动件导轨(232,233)各自具有相对于基部平台(212)的底表面(216)的小于第一高度的第二高度。同样在所示的示例中,外和内滑动件导轨(230,232,233)各自朝近侧终止在相同纵向位置处(例如,在基部平台(212)的近侧端部处),而外滑动件导轨(230)各自朝远侧终止在第一纵向位置处,第一内滑动件导轨(232)朝远侧终止在相对于第一纵向位置在远侧的第二纵向位置处,并且第二内滑动件导轨(233)朝远侧终止在相对于第一和第二纵向位置在远侧的第三纵向位置处,使得外滑动件导轨(230)各自具有第一长度,第一内滑动件导轨(232)具有大于第一长度的第二长度,并且第二内滑动件导轨(233)具有大于第一长度和第二长度的第三长度。因此,外滑动件导轨(230)的远侧端部在纵向方向上彼此对准,并且第一和第二内滑动件导轨(232,233)的远侧端部在纵向方向上彼此偏移并且从外滑动件导轨(230)的远侧端部偏移。Wedge slide (210) also includes a pair of laterally opposed outer slide rails (230) extending upwardly from base platform (212), and laterally opposed pair of outer slide rails (230) extending upwardly from both base platform (212) and raised platform (214). first and second inner slide rails (232,233). The slider guides (230, 232, 233) may also be referred to as "cam ramps" or "cam wedges". The slider rails (230, 232, 233) of the present version extend substantially straight and upright from the respective top surfaces (218, 220) of the base platform (212) and raised platform (214) such that the slider rails (230, 232, 233) are perpendicular to the horizontal plane. oriented and parallel to the vertical-longitudinal plane. In the example shown, inner slider rails (232, 233) are laterally spaced from adjacent outer slider rails (230) to define a top surface (218) of base platform (212). In this regard, the top surfaces (218) of the base platforms (212) each extend at least partially along the length of the slider rails (230,232,233), and the top surfaces (220) of the raised platforms (214) each extend at least partially along the length of the slider rails (230,232,233). extend along the length of the respective inner slider rails (232, 233). Additionally, top surfaces (218) of base platform (212) are each positioned at least partially distally relative to distal ends of slider rails (230, 232, 233). The outer slider rails (230) of the present version each have a first height relative to the bottom surface (216) of the base platform (212), while the inner slider rails (232, 233) each have a first height relative to the bottom surface of the base platform (212) (216) A second height less than the first height. Also in the example shown, the outer and inner slider rails (230, 232, 233) each terminate proximally at the same longitudinal location (e.g., at the proximal end of the base platform (212)), while the outer slider rails ( 230) each terminate distally at a first longitudinal position, the first inner slide rail (232) terminates distally at a second longitudinal position distal relative to the first longitudinal position, and the second inner slide The rails (233) terminate distally at a third longitudinal position distal relative to the first and second longitudinal positions such that the outer slider rails (230) each have a first length and the first inner slider rails (232 ) has a second length greater than the first length, and the second inner slider track (233) has a third length greater than the first length and the second length. Thus, the distal ends of the outer slider rails (230) are longitudinally aligned with each other, and the distal ends of the first and second inner slider rails (232, 233) are longitudinally offset from each other and drawn from the outer The distal end of slider rail (230) is offset.
每个滑动件导轨(230,232,233)与基部的相应远侧上倒角(224)纵向对准,使得基部平台(212)的相应顶表面(218)在每个滑动件导轨(230,232,233)与相应远侧上倒角(224)之间纵向延伸。在一些型式中,滑动件导轨(230,232,233)的远侧端部可各自与相应远侧上倒角(224)间隔开等于或大于对应钉驱动器(43)的长度的距离,使得相应顶表面(218)可以能够以直立方式将对应钉驱动器(43)支撑在每个滑动件导轨(230,232,233)和相应远侧上倒角(224)之间。Each slider rail (230, 232, 233) is longitudinally aligned with a corresponding distal upper chamfer (224) of the base such that a corresponding top surface (218) of the base platform (212) is aligned between each slider rail (230, 232, 233) and a corresponding distal The upper chamfers (224) extend longitudinally between them. In some versions, the distal ends of the sled guides (230, 232, 233) may each be spaced apart from the corresponding distal upper chamfer (224) by a distance equal to or greater than the length of the corresponding staple driver (43), such that the corresponding top surface (218 ) may be capable of supporting a corresponding staple driver (43) in an upright manner between each sled rail (230, 232, 233) and the corresponding distal upper chamfer (224).
如图13最佳所示,滑动件导轨(230,232,233)被构造成能够被接收在仓体(70)的对应纵向延伸狭槽(73)内,并且被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应侧表面,由此在楔形滑动件(210)纵向移动通过钉仓(37)时水平地稳定壁(71)。例如,外和内滑动件导轨(230,232,233)可抑制壁(71)的横向向内和/或横向向外偏转(例如,弯曲)。在这点上,滑动件导轨(230,232,233)可各自具有等于或略小于对应狭槽(73)的宽度的厚度。在一些型式中,滑动件导轨(230,232,233)可附加地或另选地被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应狭槽(73)的相应上狭槽表面,由此在楔形滑动件(210)纵向移动通过钉仓(37)时竖直地支撑上部平台(72)。As best shown in Figure 13, the slider guides (230, 232, 233) are configured to be received within corresponding longitudinally extending slots (73) of the cartridge body (70) and are configured to slidably contact or otherwise Respective side surfaces of corresponding walls (71 ) of cartridge body (70) are engaged, thereby stabilizing walls (71 ) horizontally as wedge sled (210) moves longitudinally through cartridge (37). For example, outer and inner slider rails (230, 232, 233) can inhibit lateral inward and/or lateral outward deflection (eg, bending) of wall (71). In this regard, the slider guides (230, 232, 233) may each have a thickness equal to or slightly less than the width of the corresponding slot (73). In some versions, the slider guides (230, 232, 233) may additionally or alternatively be configured to slidably contact or otherwise engage respective upper slot surfaces of corresponding slots (73) of the cartridge body (70), Upper deck (72) is thereby supported vertically as wedge sled (210) moves longitudinally through staple cartridge (37).
楔形滑动件(210)的每个滑动件导轨(230,232,233)呈现一个或多个相应倾斜凸轮表面(240,242,244,245,246,247),其用于在楔形滑动件(210)被朝远侧驱动通过钉仓(37)时完全向上提升钉驱动器(43)以向外驱动对应钉(47)通过对应钉孔(51)。在所示的示例中,每个外滑动件导轨(230)包括相对于由底表面(216)限定的水平平面以第一角度取向的前凸轮表面(240)和相对于水平平面以第二角度取向的后凸轮表面(242),使得外滑动件导轨(230)具有彼此相同的侧立面轮廓。同样地,第一和第二内滑动件导轨(232、233)各自包括相对于水平平面以第一角度取向的前凸轮表面(244,245)。在所示的示例中,第一内滑动件导轨(232)包括相对于水平平面以第三角度取向的后凸轮表面(246),并且第二内滑动件导轨(233)包括相对于水平平面以第四角度取向的后凸轮表面(247),使得内滑动件导轨(232,233)具有彼此不同和与外滑动件导轨(230)的立面轮廓不同的立面轮廓。因此,楔形滑动件(210)可关于竖直-纵向平面(至少相对于滑动件导轨(230,232,233)的构型)基本上不对称。Each sled track (230, 232, 233) of wedge sled (210) presents one or more corresponding ramped cam surfaces (240, 242, 244, 245, 246, 247) for use as wedge sled (210) is driven distally through staple cartridge (37) Lift the staple driver (43) fully upward to drive the corresponding staple (47) outward through the corresponding staple hole (51). In the example shown, each outer slider rail (230) includes a front cam surface (240) oriented at a first angle relative to a horizontal plane defined by bottom surface (216) and a second angled relative to the horizontal plane. The rear cam surfaces (242) are oriented such that the outer slider rails (230) have the same side elevation profile as one another. Likewise, the first and second inner slider rails (232, 233) each include a front cam surface (244, 245) oriented at a first angle relative to a horizontal plane. In the example shown, the first inner slider rail (232) includes a rear cam surface (246) oriented at a third angle relative to the horizontal plane, and the second inner slider rail (233) includes a rear cam surface (246) oriented at a third angle relative to the horizontal plane. The rear cam surface (247) is oriented at a fourth angle such that the inner slider rails (232, 233) have an elevational profile that differs from each other and from the elevational profile of the outer slider rail (230). Thus, the wedge slide (210) may be substantially asymmetric about the vertical-longitudinal plane (at least with respect to the configuration of the slide rails (230, 232, 233)).
在本变型中,第一角度大于第二角度,该第二角度大于第三角度,该第三角度大于第四角度。另选地,可使用任何其他合适的相对角度。In this variation, the first angle is greater than the second angle, the second angle is greater than the third angle, and the third angle is greater than the fourth angle. Alternatively, any other suitable relative angle may be used.
楔形滑动件(210)还包括在内滑动件导轨(232,233)之间从基部平台(212)和凸起平台(214)两者向上延伸并且还从凸起平台(214)朝远侧延伸到远侧尖端(252)的中心鼻部(250)。在所示的示例中,中心鼻部(250)与每个内滑动件导轨(232,233)横向间隔开以限定凸起平台(214)的顶表面(220)。更具体地,中心鼻部(250)与内滑动件导轨(232,233)等距间隔开。本型式的中心鼻部(250)包括从凸起平台(214)朝远侧延伸到远侧尖端(252)的下部部分(254),以及从凸起平台(214)和下部部分(254)两者向上延伸的上部部分(256)。本型式的上部部分(256)基本上垂直于水平平面。如图所示,上部部分(256)从凸起平台(214)的近侧端部纵向延伸到远侧尖端(252),使得上部部分(256)至少部分地相对于滑动件导轨(230,232,233)的远侧端部朝远侧定位,并且使得上部部分(256)至少部分地沿着每个滑动件导轨(230,232,233)的长度延伸。本型式的远侧尖端(252)定位在与基部平台(212)的远侧端部相同的纵向位置处。Wedge sled (210) also includes a wedge extending upwardly from both base platform (212) and raised platform (214) between inner sled rails (232, 233) and also extending distally to distally from raised platform (214). Center nose (250) of side tips (252). In the example shown, a central nose (250) is laterally spaced from each inner slider rail (232, 233) to define a top surface (220) of the raised platform (214). More specifically, the central nose (250) is equidistantly spaced from the inner slider rails (232, 233). Central nose (250) of the present version includes lower portion (254) extending distally from raised platform (214) to distal tip (252), and or an upwardly extending upper portion (256). The upper portion (256) of this version is substantially perpendicular to the horizontal plane. As shown, upper portion (256) extends longitudinally from the proximal end of raised platform (214) to distal tip (252) such that upper portion (256) is at least partially relative to the direction of slider rails (230, 232, 233). The distal end is positioned distally such that the upper portion (256) extends at least partially along the length of each slider rail (230, 232, 233). The distal tip (252) of this version is positioned at the same longitudinal location as the distal end of the base platform (212).
在所示的示例中,下部部分(254)在上部部分(256)的相对侧上相对于上部部分(256)横向向外延伸以限定从凸起平台(214)的相应顶表面(220)朝向远侧尖端(252)纵向延伸的横向相对的一对面向上的凸缘表面(262)。更具体地,凸缘表面(262)是基本上平坦的,平行于水平平面,并且相对于底表面(216)定位在与凸起平台(214)的顶表面(220)相同的高度处,使得凸缘表面(262)与凸起平台(214)的相应顶表面(220)无缝地邻接以共同限定相应单个连续表面。如图所示,每个凸缘表面(262)至少部分地相对于滑动件导轨(230,232,233)的远侧端部朝远侧定位。本型式的中心鼻部(250)还包括朝向远侧尖端(252)从凸缘表面(262)的相应远侧端部向下和朝远侧倾斜的横向相对的一对远侧渐缩表面(263)。渐缩表面(263)可被构造成能够在楔形滑动件(210)被朝远侧驱动通过钉仓(37)时将仓体(70)的内壁(71)略向上提升到中心鼻部(250)的相应凸缘表面(262)上。例如,渐缩表面(263)可被构造成能够以凸轮方式接合内壁(71)以将内壁(71)推到相应凸缘表面(262)上,如下文更详细地描述。在一些型式中,可省略渐缩表面(263)中的任何一者或多者。例如,渐缩表面(263)中的任何一者或多者可由一个或多个相应圆角代替。In the example shown, lower portion (254) extends laterally outward relative to upper portion (256) on opposite sides of upper portion (256) to define a direction from a corresponding top surface (220) of raised platform (214). The distal tip (252) extends longitudinally with a pair of transversely opposing upwardly facing flange surfaces (262). More specifically, flange surface (262) is substantially planar, parallel to a horizontal plane, and is positioned relative to bottom surface (216) at the same height as top surface (220) of raised platform (214) such that Flange surface (262) seamlessly adjoins corresponding top surface (220) of raised platform (214) to collectively define a corresponding single continuous surface. As shown, each flange surface (262) is positioned at least partially distally relative to the distal end of the slider rail (230, 232, 233). Central nose portion (250) of the present version also includes a pair of laterally opposing distally tapered surfaces ( 263). Tapered surface (263) may be configured to lift inner wall (71) of cartridge body (70) slightly upward to central nose (250) as wedge sled (210) is driven distally through staple cartridge (37). ) on the corresponding flange surface (262). For example, tapered surface (263) may be configured to cam engage inner wall (71) to push inner wall (71) onto a corresponding flange surface (262), as described in more detail below. In some versions, any one or more of tapered surfaces (263) may be omitted. For example, any one or more of the tapered surfaces (263) may be replaced by one or more corresponding fillets.
如图13最佳所示,中心鼻部(250)被构造成能够至少部分地接收在钉仓(37)的竖直狭槽(49)内。在一些型式中,中心鼻部(250)被构造成能够可滑动地接触或以其他方式接合仓体(70)的内壁(71),由此在楔形滑动件(210)纵向移动通过钉仓(37)时竖直地支撑和/或水平地稳定内壁(71)。在这点上,本型式的凸缘表面(262)面对并可滑动地接触或以其他方式接合内壁(71)的相应下表面,由此在楔形滑动件(210)纵向地移动通过钉仓(37)时竖直地支撑内壁(71)。此外,本型式的上部部分(256)接触或以其他方式接合内壁(71)的横向向内表面,由此在楔形滑动件(210)纵向移动通过钉仓(37)时水平地稳定内壁(71)。例如,上部部分(256)可抑制内壁(71)的横向向内偏转(例如,弯曲)。在这点上,上部部分(256)可具有等于或略小于竖直狭槽(49)的宽度的厚度,而下部部分(254)可具有大于竖直狭槽(49)的宽度的厚度。As best shown in Figure 13, central nose (250) is configured to be at least partially received within vertical slot (49) of staple cartridge (37). In some versions, central nose (250) is configured to slidably contact or otherwise engage inner wall (71) of cartridge body (70), thereby moving longitudinally through wedge sled (210) through the staple cartridge ( 37) supports vertically and/or stabilizes the inner wall (71) horizontally. In this regard, flange surface (262) of the present version faces and slidably contacts or otherwise engages a corresponding lower surface of inner wall (71), thereby moving longitudinally through the staple cartridge as wedge-shaped sled (210) (37) supports the inner wall (71) vertically. Additionally, upper portion (256) of the present version contacts or otherwise engages the laterally inward surface of inner wall (71), thereby horizontally stabilizing inner wall (71) as wedge sled (210) moves longitudinally through staple cartridge (37). ). For example, upper portion (256) may inhibit lateral inward deflection (eg, bending) of inner wall (71). In this regard, upper portion (256) may have a thickness equal to or slightly less than the width of vertical slot (49), while lower portion (254) may have a thickness greater than the width of vertical slot (49).
由于基部平台(212)的每个顶表面(218)至少部分地相对于滑动件导轨(230,232,233)的远侧端部朝远侧定位,因此当楔形滑动件导轨(210)纵向移动通过钉仓(37)时,顶表面(218)可将仓体(70)的钉驱动器(43)和/或外壁(71)竖直地支撑在相对于滑动件导轨(230,232,233)在远侧的纵向位置处。以这种方式,在对应滑动件导轨(230,232,233)完全提升对应钉驱动器(43)以向外驱动对应钉(47)通过钉孔(51)之前(例如,至少紧接在其之前),基部平台(212)可沿仓体(70)的长度在对应于每个钉孔(51)的纵向位置处向钉驱动器(43)和/或仓体(70)提供竖直支撑。通过在完全提升钉驱动器(43)以在此类纵向位置处向外驱动钉(47)通过钉孔(51)之前在此类纵向位置处向仓体(70)提供竖直支撑,在部署和成形每个钉(47)之前,基部平台(212)可促进每个钉孔(51)与砧座(18)的内表面上的对应钉成形凹坑(53)的适当对准。例如,基部平台(212)可通过辅助维持上部平台(72)基本上平行于砧座(18)的具有钉成形凹坑(53)的内表面来促进每个钉孔(51)与对应钉成形凹坑(53)的竖直和/或角度对准。同样地,通过在完全提升钉驱动器(43)以在此类纵向位置处向外驱动钉(47)通过钉孔(51)之前在此类纵向位置处向钉驱动器(43)提供竖直支撑,在部署和成形每个钉(47)之前,基部平台(212)可促进每个钉驱动器(43)与砧座(18)的内表面上的对应钉成形凹坑(53)的适当对准。例如,基部平台(212)可通过辅助维持每个钉驱动器(43)相对于砧座(18)的具有钉成形凹坑(53)的内表面基本上垂直地进行取向,诸如通过抑制本来可在滑动件导轨(230,232,233)的前凸轮表面(240,244,245)以凸轮方式接合钉驱动器(43)时发生的钉驱动器(43)的远侧倾斜来促进每个钉驱动器(43)与对应钉成形凹坑(53)的竖直和/或角度对准。Since each top surface (218) of base platform (212) is at least partially positioned distally relative to the distal ends of sled rails (230, 232, 233), when wedge-shaped sled rail (210) moves longitudinally through the staple cartridge ( 37), the top surface (218) can vertically support the staple drivers (43) and/or outer wall (71) of the cartridge body (70) in a distal longitudinal position relative to the slider rails (230, 232, 233). In this way, the base platform is closed before (e.g., at least immediately before) the corresponding staple driver (43) by the corresponding slider rail (230, 232, 233) to fully lift the corresponding staple driver (43) to drive the corresponding staple (47) outwardly through the staple hole (51 ). (212) may provide vertical support to staple drivers (43) and/or cartridge body (70) along the length of cartridge body (70) at longitudinal positions corresponding to each staple hole (51). By providing vertical support to the cartridge body (70) at such longitudinal positions before fully lifting the staple drivers (43) to drive the staples (47) outwardly through the staple holes (51) at such longitudinal positions, during deployment and Prior to forming each staple (47), base platform (212) may facilitate proper alignment of each staple hole (51) with a corresponding staple forming pocket (53) on the inner surface of anvil (18). For example, the base platform (212) can facilitate the alignment of each staple hole (51) with the corresponding staple formation by assisting in maintaining the upper platform (72) substantially parallel to the inner surface of the anvil (18) having the staple forming pocket (53). Vertical and/or angular alignment of dimples (53). Likewise, by providing vertical support to the staple drivers (43) at such longitudinal positions before fully lifting the staple drivers (43) to drive the staples (47) outwardly through the staple holes (51 ) at such longitudinal positions, Base platform (212) can facilitate proper alignment of each staple driver (43) with a corresponding staple forming pocket (53) on the interior surface of anvil (18) prior to deployment and forming of each staple (47). For example, the base platform (212) can be oriented substantially vertically with respect to the inner surface of the anvil (18) having the staple forming pockets (53) by assisting in maintaining each staple driver (43), such as by inhibiting The front camming surfaces (240, 244, 245) of the sled rails (230, 232, 233) facilitate alignment of each staple driver (43) with the corresponding staple forming pocket ( 53) vertical and/or angular alignment.
类似地,由于中心鼻部(250)的每个凸缘表面(262)至少部分地相对于滑动件导轨(230,232,233)的远侧端部朝远侧定位,因此当楔形滑动件(210)纵向移动通过钉仓(37)时,凸缘表面(262)可将仓体(70)的内壁(71)竖直地支撑在相对于滑动件导轨(230,232,233)在远侧的纵向位置处。同样地,由于上部部分(256)至少部分地相对于滑动件导轨(230,232,233)的远侧端部朝远侧定位,因此当楔形滑动件(210)纵向移动通过钉仓(37)时,上部部分(256)可将仓体(70)的内壁(71)水平地稳定在相对于滑动件导轨(230,232,233)在远侧的纵向位置处。以这种方式,在对应滑动件导轨(230,232,233)完全提升对应钉驱动器(43)以向外驱动对应钉(47)通过钉孔(51)之前(例如,至少紧接在其之前),中心鼻部(250)可沿仓体(70)的长度在对应于每个钉孔(51)的纵向位置处向仓体(70)提供竖直支撑和/或水平稳定性。通过在完全提升钉驱动器(43)以在此类纵向位置处向外驱动钉(47)通过钉孔(51)之前在此类纵向位置处向仓体(70)提供竖直支撑和/或水平稳定性,在部署和成形每个钉(47)之前,中心鼻部(250)可促进每个钉孔(51)与砧座(18)的内表面上的对应钉成形凹坑(53)的适当对准。例如,中心鼻部(250)可通过辅助维持上部平台(72)基本上平行于砧座(18)的具有钉成形凹坑(53)的内表面和/或通过抑制本来可致使钉孔(51)相对于对应钉成形凹坑(53)成角度(例如,横向向内或横向向外)的内壁(71)的横向偏转来促进每个钉孔(51)与对应钉成形凹坑(53)的竖直和/或角度对准。Similarly, since each flange surface (262) of central nose (250) is at least partially positioned distally relative to the distal ends of slider rails (230, 232, 233), when wedge-shaped slider (210) moves longitudinally Flange surface (262) may support inner wall (71) of cartridge body (70) vertically in a distal longitudinal position relative to sled rails (230, 232, 233) as cartridge (37) passes. Likewise, because upper portion (256) is at least partially positioned distally relative to the distal ends of sled rails (230, 232, 233), when wedge-shaped sled (210) moves longitudinally through cartridge (37), the upper portion (256) can stabilize the inner wall (71) of the cartridge body (70) horizontally in a distal longitudinal position relative to the slider rails (230, 232, 233). In this manner, the central nose will be positioned before (e.g., at least immediately prior to) the corresponding staple driver (43) fully lifted by the corresponding slider rail (230, 232, 233) to drive the corresponding staple (47) outwardly through the staple hole (51 ). Portions (250) may provide vertical support and/or horizontal stability to the cartridge body (70) along the length of the cartridge body (70) at longitudinal locations corresponding to each staple hole (51). By providing vertical support and/or horizontal support to the cartridge body (70) at such longitudinal positions before fully lifting the staple drivers (43) to drive the staples (47) outwardly through the staple holes (51) at such longitudinal positions Stability, prior to deploying and forming each staple (47), the central nose (250) facilitates alignment of each staple hole (51) with the corresponding staple forming pocket (53) on the inner surface of the anvil (18). Align properly. For example, the central nose (250) can be used by assisting in maintaining the upper platform (72) substantially parallel to the inner surface of the anvil (18) having the staple forming pocket (53) and/or by inhibiting what would otherwise result in the staple hole (51). ) relative to the corresponding staple forming pocket (53) angled (e.g., laterally inward or laterally outward) of the inner wall (71) to facilitate the alignment of each staple hole (51) with the corresponding staple forming pocket (53) vertical and/or angular alignment.
此外,由于基部平台(212)和凸起平台(214)的顶表面(218,220)各自至少部分地沿着相应滑动件导轨(230,232,233)的长度延伸,因此顶表面(218,220)可将仓体(70)的对应壁(71)竖直地支撑在滑动件导轨(230,232,233)在楔形滑动件(210)纵向移动通过钉仓(37)时所位于的相同纵向位置处。以这种方式,与对应滑动件导轨(230,232,233)完全提升对应钉驱动器(43)以向外驱动对应钉(47)通过钉孔(51)基本上同时(例如,在其持续时间的至少一部分期间),基部平台(212)和/或凸起平台(214)可沿着仓体(70)的长度在对应于每个钉孔(51)的纵向位置处向仓体(70)提供竖直支撑。通过与完全提升钉驱动器(43)以在此类纵向位置处向外驱动钉(47)通过钉孔(51)基本上同时地在此类纵向位置处向仓体(70)提供竖直支撑,在部署和成形每个钉(47)时,基部平台(212)和/或凸起平台(214)可促进每个钉孔(51)与砧座(18)的内表面上的对应钉成形凹坑(53)的适当对准。例如,基部平台(212)和/或凸起平台(214)可通过辅助维持上部平台(72)基本上平行于砧座(18)的具有钉成形凹坑(53)的内表面来促进每个钉孔(51)与对应钉成形凹坑(53)的竖直和/或角度对准。由于凸起平台(214)的顶表面(220)与相应凸缘表面(262)无缝地邻接,因此中心鼻部(250)和凸起平台(214)可协作地促进每个钉孔(51)与砧座(18)的内表面上的对应钉成形凹坑(53)从至少紧接在部署和成形每个钉(47)之前到部署和成形每个钉(47)完成的连续适当对准。Furthermore, since the top surfaces (218, 220) of the base platform (212) and the raised platform (214) each extend at least partially along the length of a corresponding slider track (230, 232, 233), the top surfaces (218, 220) can hold the cartridge body (70 ) is vertically supported at the same longitudinal position where the sled guides (230, 232, 233) are located when the wedge-shaped sled (210) moves longitudinally through the staple cartridge (37). In this manner, the corresponding staple driver (43) is fully lifted by the corresponding sled rail (230, 232, 233) to drive the corresponding staple (47) outwardly through the staple hole (51) substantially simultaneously (e.g., during at least a portion of its duration ), the base platform (212) and/or the raised platform (214) can provide vertical support to the warehouse body (70) along the length of the warehouse body (70) at a longitudinal position corresponding to each nail hole (51) . By providing vertical support to the cartridge body (70) at such longitudinal positions substantially simultaneously with fully lifting the staple drivers (43) to drive the staples (47) outwardly through the staple holes (51 ) at such longitudinal positions, As each staple (47) is deployed and formed, the base platform (212) and/or raised platform (214) can facilitate the alignment of each staple hole (51) with the corresponding staple forming recess on the inner surface of the anvil (18). Proper alignment of the pit (53). For example, the base platform (212) and/or the raised platform (214) can facilitate each abutment by assisting in maintaining the upper platform (72) substantially parallel to the inner surface of the anvil (18) with the staple forming pockets (53). The staple holes (51 ) are vertically and/or angularly aligned with the corresponding staple forming pockets (53). Since the top surface (220) of the raised platform (214) adjoins the corresponding flange surface (262) seamlessly, the central nose (250) and raised platform (214) can cooperatively facilitate each nail hole (51 ) with corresponding staple forming pockets (53) on the inner surface of the anvil (18) from at least immediately prior to deploying and forming each staple (47) to the completion of the deployment and forming of each staple (47). allow.
此外,由于中心鼻部(250)的上部部分(256)至少部分地沿着每个滑动件导轨(230,232,233)的长度延伸,因此上部部分(256)可将仓体(70)的壁(71)水平地稳定在滑动件导轨(230,232,233)在楔形滑动件(210)纵向移动通过钉仓(37)时所位于的相同纵向位置处。以这种方式,与对应滑动件导轨(230,232,233)完全提升对应钉驱动器(43)以向外驱动对应钉(47)通过钉孔(51)基本上同时(例如,在其持续时间的至少一部分期间),中心鼻部(250)可沿着仓体(70)的长度在对应于每个钉孔(51)的纵向位置处向仓体(70)提供水平稳定性。通过与完全提升钉驱动器(43)以在此类纵向位置处向外驱动钉(47)通过钉孔(51)基本上同时地在此类纵向位置处向仓体(70)提供水平稳定性,在部署和成形每个钉(47)的同时,中心鼻部(250)可促进每个钉孔(51)与砧座(18)的内表面上的对应钉成形凹坑(53)的适当对准。例如,中心鼻部(250)可通过抑制本来可致使钉孔(51)相对于对应钉成形凹坑(53)成角度(例如,横向向内或横向向外)的内壁(71)的横向偏转来促进每个钉孔(51)与对应钉成形凹坑(53)的竖直和/或角度对准。如上所讨论,滑动件导轨(230,232,233)自身可将仓体(70)的对应壁(71)水平地稳定在它们相应纵向位置处,并且因此还可通过抑制本来可致使钉孔(51)相对于对应钉成形凹坑(53)成角度(例如,横向向内或横向向外)的内壁(71)的横向偏转来促进每个钉孔(51)与对应钉成形凹坑(53)的竖直和/或角度对准。因此,当楔形滑动件(210)纵向移动通过钉仓(37)时,中心鼻部(250)和滑动件导轨(230,232,233)可在每个滑动件导轨(230,232,233)的相应纵向位置处协作地向仓体(70)提供水平稳定性。应当理解,从图13的视图中有意地省略了砧座(18)。In addition, because the upper portion (256) of the central nose (250) extends at least partially along the length of each slider track (230, 232, 233), the upper portion (256) can engage the wall (71) of the cartridge body (70). Stabilized horizontally at the same longitudinal position that sled guides (230, 232, 233) are in when wedge sled (210) moves longitudinally through cartridge (37). In this manner, the corresponding staple driver (43) is fully lifted by the corresponding sled rail (230, 232, 233) to drive the corresponding staple (47) outwardly through the staple hole (51) substantially simultaneously (e.g., during at least a portion of its duration ), the central nose (250) can provide horizontal stability to the cartridge body (70) along the length of the cartridge body (70) at a longitudinal position corresponding to each nail hole (51). By providing horizontal stability to the cartridge body (70) at such longitudinal positions substantially simultaneously with fully lifting the staple drivers (43) to drive staples (47) outwardly through the staple holes (51 ) at such longitudinal positions, While deploying and forming each staple (47), the central nose (250) can facilitate proper alignment of each staple hole (51) with the corresponding staple forming pocket (53) on the inner surface of the anvil (18). allow. For example, the central nose (250) can act by inhibiting lateral deflection of the inner wall (71) that would otherwise cause the staple hole (51) to be angled (e.g., laterally inward or laterally outward) relative to the corresponding staple forming pocket (53). to facilitate vertical and/or angular alignment of each staple hole (51) with the corresponding staple forming pocket (53). As discussed above, the slider guides (230, 232, 233) themselves can horizontally stabilize the corresponding walls (71) of the cartridge body (70) in their respective longitudinal positions, and thus also by inhibiting the Lateral deflection of the inner wall (71) that is angled (e.g., laterally inward or laterally outward) to the corresponding staple forming pocket (53) to facilitate vertical alignment of each staple hole (51) with the corresponding staple forming pocket (53) and/or angular alignment. Accordingly, as wedge sled (210) moves longitudinally through staple cartridge (37), central nose (250) and sled rails (230, 232, 233) can cooperatively move toward each other at the respective longitudinal positions of each sled rail (230, 232, 233). The cartridge body (70) provides horizontal stability. It should be understood that the anvil ( 18 ) has been intentionally omitted from the view of FIG. 13 .
楔形滑动件(210)可由任何合适的材料或材料的组合形成,包括但不限于诸如不锈钢(例如,硬化不锈钢)或钛的金属材料。在一些型式中,楔形滑动件(210)可经由金属注射模制(MIM)过程来制造。应当理解,此类MIM过程可向楔形滑动件(210)提供改善的压缩支撑和较小的横向偏转,并且可使得楔形滑动件(210)能够在使用(例如,夹紧和/或击发)期间向钉仓(37)提供改善的刚度。例如,此类MIM过程可包括通过金属粉末和粘结剂的液体MIM原料混合将楔形滑动件(210)模制为单个整体件。MIM过程还可包括使楔形滑动件(210)经受各种类型的调节,包括但不限于清洁、热脱粘和/或烧结。Wedge slide (210) may be formed from any suitable material or combination of materials, including, but not limited to, metallic materials such as stainless steel (eg, hardened stainless steel) or titanium. In some versions, wedge slide (210) may be manufactured via a metal injection molding (MIM) process. It should be appreciated that such a MIM process may provide improved compressive support and less lateral deflection to wedge sled (210), and may enable wedge sled (210) to Provides improved stiffness to staple cartridge (37). For example, such a MIM process may include molding the wedge slide (210) as a single monolithic piece by mixing liquid MIM feedstock of metal powder and binder. The MIM process may also include subjecting the wedge slide (210) to various types of conditioning including, but not limited to, cleaning, thermal debonding, and/or sintering.
在任何情况下,在MIM过程完成之后,楔形滑动件(210)的所有表面可具有初始(例如,原始MIM)表面光洁度,包括基部平台(212)的顶表面(218)、远侧上倒角(224)和滑动件导轨(230,232,233)的凸轮表面(240,242,244,245,246,247)。此类初始表面光洁度可以是粗糙的、研磨的和/或粒状的,并且通常可类似于有坑砂纸的纹理。因此,楔形滑动件(210)的选定表面可被进一步调节以从选定表面移除初始表面光洁度并且向选定表面提供比初始表面光洁度相对更平滑(例如,更精细、更抛光)的最终表面光洁度。例如,基部平台(212)的顶表面(218)、远侧上倒角(224)和滑动件导轨(230,232,233)的凸轮表面(240,242,244,245,246,247)可被机加工以从顶表面(218)、远侧上倒角(224)和凸轮表面(240,242,244,245,246,247)移除初始表面光洁度并且向顶表面(218)、远侧上倒角(224)和凸轮表面(240,242,244,245,246,247)提供此类最终表面光洁度。顶表面(218)、远侧上倒角(224)和凸轮表面(240,242,244,245,246,247)的最终表面光洁度可促进顶表面(218)、远侧上倒角(224)和凸轮表面(240,242,244,245,246,247)与钉驱动器(43)之间的减小的摩擦和平滑的相互作用,并且由此最小化钉驱动器(43)的由顶表面(218)、远侧上倒角(224)和凸轮表面(240,242,244,245,246,247)接触的部分的磨损。In any event, after the MIM process is complete, all surfaces of wedge sled (210) may have an initial (e.g., raw MIM) surface finish, including top surface (218) of base platform (212), distal upper chamfer (224) and cam surfaces (240,242,244,245,246,247) of slider guides (230,232,233). Such an initial surface finish may be rough, abrasive, and/or grainy, and may generally resemble the texture of pitted sandpaper. Accordingly, the selected surface of the wedge slide (210) can be further adjusted to remove the initial surface finish from the selected surface and provide the selected surface with a final surface finish that is relatively smoother (e.g., finer, more polished) than the initial surface finish. surface finish. For example, the top surface (218) of the base platform (212), the distal upper chamfer (224), and the cam surfaces (240, 242, 244, 245, 246, 247) of the slider rails (230, 232, 233) can be The chamfers ( 224 ) and cam surfaces ( 240 , 242 , 244 , 245 , 246 , 247 ) remove the initial surface finish and provide such final surface finish to the top surface ( 218 ), distal upper chamfer ( 224 ) and cam surfaces ( 240 , 242 , 244 , 245 , 246 , 247 ). The final surface finish of the top surface (218), distal upper chamfer (224) and cam surfaces (240, 242, 244, 245, 246, 247) facilitates contact of the top surface (218), distal upper chamfer (224) and cam surfaces (240, 242, 244, 245, 246, 247) with the staple drivers ( 43) and thereby minimize the portion of staple driver (43) that is contacted by top surface (218), distal upper chamfer (224) and cam surfaces (240, 242, 244, 245, 246, 247) wear and tear.
虽然已经以基部平台(212)的顶表面(218)、远侧上倒角(224)和滑动件导轨(230,232,233)的凸轮表面(240,242,244,245,246,247)的形式描述了设置有最终表面光洁度的选定表面,但应当理解,楔形滑动件(210)的任何其他表面可附加地或另选地设置有最终表面光洁度。例如,底表面(216)可设置有最终表面光洁度以促进底表面(216)和托盘(74)之间的减小的摩擦和平滑的相互作用。While selected surfaces provided with a final surface finish have been described in terms of the top surface (218) of the base platform (212), the distal upper chamfer (224) and the cam surfaces (240, 242, 244, 245, 246, 247) of the slider rails (230, 232, 233), It should be understood, however, that any other surface of wedge slide (210) may additionally or alternatively be provided with a final surface finish. For example, bottom surface (216) may be provided with a final surface finish to promote reduced friction and smooth interaction between bottom surface (216) and tray (74).
在一些型式中,楔形滑动件(210)的剩余的非选定表面可不被进一步调节,使得初始表面光洁度可在使用(例如,夹紧和/或击发)期间保持在非选定表面上。例如,凸起平台(214)的顶表面(220)和/或中心鼻部(250)的凸缘表面(262)可保持初始表面光洁度。作为另一个示例,除了基部平台(212)的顶表面(218)、远侧上倒角(224)和滑动件导轨(230,232,233)的凸轮表面(240,242,244,245,246,247)之外,楔形滑动件(210)的每个表面可保持初始表面光洁度。因此,楔形滑动件(210)的选定表面可具有最终表面光洁度,而楔形滑动件(210)的非选定表面可具有初始表面光洁度,使得楔形滑动件(210)可具有至少两个不同表面光洁度。In some versions, the remaining non-selected surfaces of wedge sled (210) may not be further adjusted such that the initial surface finish may remain on the non-selected surfaces during use (eg, clamping and/or firing). For example, the top surface (220) of the raised platform (214) and/or the flange surface (262) of the central nose (250) may retain the original surface finish. As another example, in addition to the top surface (218) of the base platform (212), the distal upper chamfer (224), and the cam surfaces (240, 242, 244, 245, 246, 247) of the sled rails (230, 232, 233), each of the wedge sleds (210) The surface maintains the original surface finish. Accordingly, selected surfaces of wedge slide (210) may have a final surface finish, while non-selected surfaces of wedge slide (210) may have an initial surface finish such that wedge slide (210) may have at least two different surfaces finish.
选定表面和非选定表面可基于钉仓(37)和/或击发梁(14)的与楔形滑动件(210)的每个单独表面相互作用的特定部件来确定。在这点上,对于楔形滑动件(210)的与钉仓(37)和/或击发梁(14)的某些预定部件相互作用的表面,可能比其他表面更期望最终表面光洁度。例如,基部平台(212)的顶表面(218)、远侧上倒角(224)和滑动件导轨(230,232,233)的凸轮表面(240,242,244,245,246,247)可基于其与钉驱动器(43)的相互作用而被选择成接收最终表面光洁度,而滑动件导轨(230,232,233)的其余表面、凸起平台(214)的顶表面(220)和/或中心鼻部(250)的凸缘表面(262)可基于其与仓体(70)的相互作用而不被选择成接收最终表面光洁度。作为另一个示例,底表面(216)可基于其与托盘(74)的相互作用而被选择成接收最终表面光洁度,而楔形滑动件(210)的近侧端部表面可基于其与推块(80)的相互作用而不被选择成接收最终表面光洁度。Selected and non-selected surfaces may be determined based on specific components of cartridge (37) and/or firing beam (14) that interact with each individual surface of wedge sled (210). In this regard, the final surface finish may be more desirable for surfaces of wedge sled (210) that interact with certain predetermined components of cartridge (37) and/or firing beam (14) than other surfaces. For example, the top surface (218) of the base platform (212), the distal upper chamfer (224), and the camming surfaces (240, 242, 244, 245, 246, 247) of the sled rails (230, 232, 233) may be selected based on their interaction with the staple drivers (43) to receive the final surface finish, while the remaining surfaces of the slider guides (230, 232, 233), the top surface (220) of the raised platform (214), and/or the flange surface (262) of the center nose (250) can be based on their relationship with the cartridge The interaction of the body (70) is not selected to receive the final surface finish. As another example, bottom surface (216) may be selected to receive a final surface finish based on its interaction with tray (74), while the proximal end surface of wedge-shaped slide (210) may be selected based on its interaction with push block ( 80) are not selected to receive the final surface finish.
现在参见图14A至图14D,在击发期间,楔形滑动件(210)从图14A所示的近侧位置被朝远侧驱动成与钉驱动器(43)进行向上凸轮接触,该钉驱动器继而向外驱动钉(47)通过钉孔(51)并且与砧座(18)的内表面上的钉成形凹坑(53)形成接触。更具体地,基部平台(212)的远侧上倒角(224)在楔形滑动件(210)的远侧平移期间以凸轮方式接合相应钉驱动器(43)以便将相应钉驱动器(43)提升到高于托盘(74),如图14B所示。例如,远侧上倒角(224)可将相应钉驱动器(43)提升到基部平台(212)的相应顶表面(218)上的第一高度而不将对应钉(47)通过对应钉孔(51)射出。因此,远侧上倒角(224)可被认为“部分地”提升相应钉驱动器(43)。如图14C所示,顶表面(218)然后在楔形滑动件(210)的继续远侧平移期间竖直地支撑相应钉驱动器(43)。例如,顶表面(218)可临时将相应钉驱动器(43)保持在第一高度。然后,相应滑动件导轨(230,232)的凸轮表面(240,242,244,245,246,247)在楔形滑动件导轨(210)的进一步远侧平移期间以凸轮方式接合相应钉驱动器(43)以便将相应钉驱动器(43)提升到高于基部平台(212)的相应顶表面(218),如图14D所示。例如,凸轮表面(240,242,244,245,246,247)可将相应钉驱动器(43)提升到大于第一高度的第二高度以便将对应钉(47)通过对应钉孔(51)射出并且与相应钉成形凹坑(53)形成接触。因此,凸轮表面(240,242,244,245,246,247)可被认为“完全”提升相应钉驱动器(43)。还应当理解,从图14A至图14D中的视图中有意地省略了钉成形凹坑(53)。Referring now to FIGS. 14A-14D , during firing, wedge sled ( 210 ) is driven distally from the proximal position shown in FIG. 14A into upward camming contact with staple driver ( 43 ), which in turn outwards. The nails (47) are driven through the nail holes (51) and into contact with the nail forming pockets (53) on the inner surface of the anvil (18). More specifically, the distal upper chamfer (224) of the base platform (212) cams the corresponding staple driver (43) during distal translation of the wedge sled (210) to lift the corresponding staple driver (43) to higher than the tray (74), as shown in Figure 14B. For example, the distal upper chamfer (224) can lift the corresponding staple driver (43) to a first height on the corresponding top surface (218) of the base platform (212) without passing the corresponding staple (47) through the corresponding staple hole ( 51) Shoot out. Thus, distal upper chamfer (224) may be considered to "partially" lift the corresponding staple driver (43). As shown in FIG. 14C , top surface ( 218 ) then vertically supports the respective staple driver ( 43 ) during continued distal translation of wedge sled ( 210 ). For example, top surface (218) may temporarily hold corresponding staple driver (43) at the first height. Then, the camming surfaces (240, 242, 244, 245, 246, 247) of the respective sled rails (230, 232) cammingly engage the respective staple drivers (43) during further distal translation of the wedge-shaped sled rails (210) to lift the respective staple drivers (43) to high on the corresponding top surface (218) of the base platform (212), as shown in Figure 14D. For example, the camming surfaces (240, 242, 244, 245, 246, 247) can raise the corresponding staple driver (43) to a second height greater than the first height to eject the corresponding staple (47) through the corresponding staple hole (51) and contact the corresponding staple forming pocket (53) Make contact. Thus, the camming surfaces (240, 242, 244, 245, 246, 247) may be considered to "fully" lift the corresponding staple driver (43). It should also be understood that the staple forming pockets (53) have been intentionally omitted from the views in Figures 14A-14D.
IV.具有仓偏压特征部的示例性滑动件IV. Exemplary Slides with Cartridge Biasing Features
在一些情况下,可能期望提供楔形滑动件,该楔形滑动件被构造成能够通过横向向内偏压邻近楔形滑动件的仓体(70)的壁来向钉仓(37)提供进一步的水平稳定性。图15至图19示出了各自提供此类功能的示例性楔形滑动件(310,410,510,610,710)。楔形滑动件(310,410,510,610,710)各自类似于上文所述的楔形滑动件(110)和/或楔形滑动件(210),除非下文另外描述。例如,楔形滑动件(310,410,510,610,710)各自在钉仓(37)内纵向占据与楔形滑动件(41,110,210)相同的空间量,从而使楔形滑动件(310,410,510,610,710)与楔形滑动件(41,110,210)基本上可互换。In some cases, it may be desirable to provide a wedge sled configured to provide further horizontal stability to the staple cartridge (37) by laterally inwardly biasing the wall of the cartridge body (70) adjacent the wedge sled. sex. Figures 15-19 illustrate exemplary wedge slides (310, 410, 510, 610, 710) each providing such functionality. Wedge slides (310, 410, 510, 610, 710) are each similar to wedge slides (110) and/or wedge slides (210) described above unless otherwise described below. For example, wedge sleds (310, 410, 510, 610, 710) each occupy the same amount of space longitudinally within staple cartridge (37) as wedge sleds (41, 110, 210), thereby rendering wedge sleds (310, 410, 510, 610, 710) substantially interchangeable with wedge sleds (41, 110, 210) .
A.具有前端内倾的内和外滑动件导轨以及底切部的示例性滑动件A. Exemplary Slides with Inner and Outer Slider Rails and Undercuts with Inverted Fronts
图15示出了包括基部的示例性楔形滑动件(310),该基部包括基部平台(312)和从基部平台(312)向上延伸的中心凸起平台(314)。在所示的示例中,基部平台(312)具有基本上平坦的底表面(316),该底表面限定水平平面并且被构造成能够在楔形滑动件(310)纵向移动通过钉仓(37)时沿托盘(74)纵向滑动。基部平台(312)还具有平行于底表面(316)的横向相对的一对基本上平坦的顶表面(318),并且凸起平台(314)类似地具有平行于底表面(316)的横向相对的一对基本上平坦的顶表面(320)。如图所示,顶表面(318,320)被构造成能够面对和/或可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应底表面,由此在楔形滑动件(310)纵向移动通过钉仓(37)时竖直地支撑对应壁(71)。Figure 15 shows an exemplary wedge slide (310) comprising a base including a base platform (312) and a central raised platform (314) extending upwardly from the base platform (312). In the example shown, base platform (312) has a substantially planar bottom surface (316) that defines a horizontal plane and is configured to enable the wedge sled (310) to move longitudinally through staple cartridge (37). Slide along the tray (74) lengthwise. Base platform (312) also has a pair of laterally opposed substantially planar top surfaces (318) parallel to bottom surface (316), and raised platform (314) similarly has laterally opposed pairs parallel to bottom surface (316). A pair of substantially planar top surfaces (320). As shown, the top surfaces (318, 320) are configured to face and/or slidably contact or otherwise engage a corresponding bottom surface of a corresponding wall (71) of the cartridge body (70), whereby the wedge-shaped slide (310) vertically supports the corresponding wall (71) as it moves longitudinally through the staple cartridge (37).
楔形滑动件(310)还包括从基部平台(312)向上延伸的横向相对的一对外滑动件导轨(330),以及从基部平台(312)和凸起平台(314)两者向上延伸的横向相对的一对内滑动件导轨(332)。滑动件导轨(330,332)也可称为“凸轮斜坡”或“凸轮楔形件”。本型式的滑动件导轨(330,332)各自从基部平台(312)和凸起平台(314)的相应顶表面(318,320)横向向内倾斜或弯曲,使得滑动件导轨(330,332)相对于水平平面并相对于竖直-纵向平面倾斜地取向。更具体地,每个滑动件导轨(330,332)相对于竖直-纵向平面(或相对于与其平行的任何平面)以相同倾斜角(α)横向向内弯曲,使得竖直-纵向平面的每一侧上的滑动件导轨(330,332)彼此平行,并且使得楔形滑动件导轨(310)关于竖直-纵向平面(至少相对于滑动件导轨(330,332)的构型)基本上对称。在一些型式中,倾斜角(α)可为约7.5°。另选地,可使用任何其他合适的角度。在所示的示例中,楔形滑动件(310)包括邻近对应内滑动件导轨(332)从凸起平台(314)的顶表面(320)向下延伸的横向相对的一对凹陷部(334)以辅助促进内滑动件导轨(332)的横向向内弯曲构型。凹陷部(334)也可被称为“底切部”。在一些型式中,凹陷部(334)可各自至少部分地沿着相应内滑动件导轨(332)的长度延伸。Wedge slide (310) also includes a pair of laterally opposed outer slide rails (330) extending upwardly from base platform (312), and laterally opposed pair of outer slide rails (330) extending upwardly from both base platform (312) and raised platform (314). A pair of inner slide rails (332). The slider guides (330, 332) may also be referred to as "cam ramps" or "cam wedges". The slider guides (330, 332) of this version are each sloped or curved laterally inwardly from the respective top surfaces (318, 320) of the base platform (312) and raised platform (314) so that the slider guides (330, 332) are relative to the horizontal plane and opposite Oriented obliquely in the vertical-longitudinal plane. More specifically, each slider guide (330, 332) is curved laterally inwardly at the same angle of inclination (α) with respect to the vertical-longitudinal plane (or with respect to any plane parallel thereto), such that each vertical-longitudinal plane The slider rails (330, 332) on the sides are parallel to each other and make the wedge-shaped slider rail (310) substantially symmetrical about the vertical-longitudinal plane (at least with respect to the configuration of the slider rails (330, 332)). In some versions, the angle of inclination (α) may be about 7.5°. Alternatively, any other suitable angle may be used. In the example shown, wedge slide (310) includes a pair of laterally opposing recesses (334) extending downwardly from the top surface (320) of raised platform (314) adjacent to corresponding inner slide rails (332) To help facilitate the laterally inwardly curved configuration of the inner slider rail (332). The recess (334) may also be referred to as an "undercut". In some versions, recesses (334) may each extend at least partially along the length of a respective inner slider rail (332).
如图所示,滑动件导轨(330,332)被构造成能够被接收在仓体(70)的对应纵向延伸狭槽(73)内,并且被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应侧表面,由此在楔形滑动件(310)纵向移动通过钉仓(37)时水平地稳定壁(71)。例如,外和内滑动件导轨(330,332)可抑制壁(71)的横向向内和/或横向向外偏转(例如,弯曲)。在这点上,本型式的滑动件导轨(330,332)的横向向内弯曲构型可特别适合于抑制壁(71)的横向向外偏转。例如,本型式的滑动件导轨(330,332)可通过抵消可在使用(例如,夹紧和/或击发)期间施加到壁(71)的任何横向向外指向力而将对应壁(71)朝向基本上竖直取向偏压。在这点上,倾斜角(α)可被选择以实现由每个滑动件导轨(330,332)施加到对应壁(71)的期望量的横向向内指向力,该期望量的横向向内指向力足以克服此类横向向外指向力,同时导致对应壁(71)的有限横向向内弯曲或无横向向内弯曲。同样地,滑动件导轨(330,332)可各自分别以预定量的柔性附接到基部平台(312)和凸起平台(314)以通过允许滑动件导轨(330,332)在向其施加阈值力时被横向向外弹性推动而最小化对应壁(71)的横向向内弯曲。因此,滑动件导轨(330,332)可被认为是横向向内弹性偏压的。在一些型式中,滑动件导轨(330,332)可附加地或另选地被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应狭槽(73)的相应上狭槽表面,由此在楔形滑动件(310)纵向移动通过钉仓(37)时竖直地支撑上部平台(72)。As shown, the slider guides (330, 332) are configured to be received within corresponding longitudinally extending slots (73) of the cartridge body (70) and configured to slidably contact or otherwise engage the cartridge body A corresponding side surface of ( 70 ) corresponds to wall ( 71 ), thereby horizontally stabilizing wall ( 71 ) as wedge sled ( 310 ) moves longitudinally through cartridge ( 37 ). For example, outer and inner slider rails (330, 332) may inhibit lateral inward and/or lateral outward deflection (eg, bending) of wall (71). In this regard, the laterally inwardly curved configuration of the slider guides (330, 332) of this version may be particularly suited to inhibiting laterally outward deflection of the wall (71). For example, slider guides (330, 332) of the present type may direct the corresponding wall (71) toward substantially on the vertical orientation bias. In this regard, the angle of inclination (α) can be selected to achieve a desired amount of laterally inwardly directed force applied by each slider rail (330, 332) to the corresponding wall (71), which It is sufficient to overcome such laterally outwardly directed forces while causing limited or no laterally inwardly bending of the corresponding wall (71). Likewise, slider rails (330, 332) may each be attached to base platform (312) and raised platform (314) with a predetermined amount of flexibility, respectively, by allowing slider rails (330, 332) to be laterally moved when a threshold force is applied thereto. The outward elastic push minimizes the lateral inward bending of the corresponding wall (71). Accordingly, slider guides (330, 332) may be considered to be resiliently biased laterally inward. In some versions, the slider guides (330, 332) may additionally or alternatively be configured to slidably contact or otherwise engage respective upper slot surfaces of corresponding slots (73) of the cartridge body (70), Upper deck (72) is thereby supported vertically as wedge sled (310) moves longitudinally through staple cartridge (37).
楔形滑动件(310)还包括在内滑动件导轨(332)之间从凸起平台(314)向上延伸的中心鼻部(350)。在所示的示例中,中心鼻部(350)与每个凹陷部(334)横向间隔开以限定凸起平台(314)的顶表面(320)。Wedge slide (310) also includes a central nose (350) extending upwardly from raised platform (314) between inner slide rails (332). In the example shown, central nose (350) is laterally spaced from each recess (334) to define top surface (320) of raised platform (314).
如图所示,中心鼻部(350)被构造成能够至少部分地接收在钉仓(37)的竖直狭槽(49)内。在一些型式中,中心鼻部(350)被构造成能够可滑动地接触或以其他方式接合仓体(70)的内壁(71),由此在楔形滑动件(310)纵向移动通过钉仓(37)时竖直地支撑和/或水平地稳定内壁(71),如上文相对于中心鼻部(150,250)所述。例如,中心鼻部(350)可抑制本来可通过由对应内滑动件导轨(332)施加到内壁(71)的横向向内指向力引起的内壁(71)的横向向内偏转(例如,弯曲)。同样地,内滑动件导轨(332)可抑制本来可通过由对应外滑动件导轨(330)施加到外壁(71)的横向向内指向力引起的外壁(71)的横向向内偏转(例如,弯曲)。在一些型式中,可允许内壁和/或外壁(71)的某种横向向内挠曲,其不会使钉仓(37)的总体外部形状变形,并且更具体地,不会导致钉孔(51)相对于对应钉成形凹坑(53)的未对准。因此,当楔形滑动件(310)纵向移动通过钉仓(37)时,中心鼻部(350)和滑动件导轨(330,332)可在每个滑动件导轨(330,332)的相应纵向位置处协作地向仓体(70)提供改善的水平稳定性。应当理解,从图15的视图中有意地省略了砧座(18)。As shown, central nose (350) is configured to be at least partially received within vertical slot (49) of staple cartridge (37). In some versions, central nose (350) is configured to slidably contact or otherwise engage inner wall (71) of cartridge body (70), thereby moving longitudinally through wedge sled (310) through the staple cartridge ( 37) vertically supports and/or horizontally stabilizes the inner wall (71 ), as described above with respect to the central nose (150, 250). For example, central nose (350) may inhibit lateral inward deflection (e.g., bending) of inner wall (71) that would otherwise be caused by a laterally inwardly directed force applied to inner wall (71) by corresponding inner slider rail (332) . Likewise, the inner slider rails (332) can inhibit lateral inward deflection of the outer wall (71) that would otherwise be induced by a laterally inwardly directed force applied to the outer wall (71) by the corresponding outer slider rail (330) (e.g., bending). In some versions, some lateral inward deflection of the inner and/or outer walls (71) may be permitted without deforming the overall outer shape of the staple cartridge (37), and more specifically, without causing a staple hole ( 51) Misalignment relative to corresponding staple forming pockets (53). Accordingly, as wedge sled (310) moves longitudinally through staple cartridge (37), central nose (350) and sled rails (330, 332) can cooperatively move toward each other at the respective longitudinal positions of each sled rail (330, 332). The cartridge body (70) provides improved horizontal stability. It should be understood that the anvil ( 18 ) has been intentionally omitted from the view of FIG. 15 .
B.具有前端内倾的内和外滑动件导轨的示例性滑动件B. Exemplary Slides with Inner and Outer Slider Rails with Inward-Tipped Fronts
图16示出了包括基部的示例性楔形滑动件(410),该基部包括基部平台(412)和从基部平台(412)向上延伸的中心凸起平台(414)。在所示的示例中,基部平台(412)具有基本上平坦的底表面(416),该底表面限定水平平面并且被构造成能够在楔形滑动件(410)纵向移动通过钉仓(37)时沿托盘(74)纵向滑动。基部平台(412)还具有平行于底表面(416)的横向相对的一对基本上平坦的顶表面(418),并且凸起平台(414)类似地具有平行于底表面(416)的横向相对的一对基本上平坦的顶表面(420)。如图所示,顶表面(418,420)被构造成能够面对和/或可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应底表面,由此在楔形滑动件(410)纵向移动通过钉仓(37)时竖直地支撑对应壁(71)。Figure 16 shows an exemplary wedge-shaped slide (410) comprising a base including a base platform (412) and a central raised platform (414) extending upwardly from the base platform (412). In the example shown, base platform (412) has a substantially planar bottom surface (416) that defines a horizontal plane and is configured to enable a wedge sled (410) to move longitudinally through staple cartridge (37). Slide along the tray (74) lengthwise. Base platform (412) also has a pair of laterally opposed substantially planar top surfaces (418) parallel to bottom surface (416), and raised platform (414) similarly has laterally opposed pairs parallel to bottom surface (416). A pair of substantially planar top surfaces (420). As shown, the top surfaces (418, 420) are configured to face and/or slidably contact or otherwise engage a corresponding bottom surface of a corresponding wall (71) of the cartridge body (70), whereby the wedge-shaped slide (410) vertically supports the corresponding wall (71) as it moves longitudinally through the staple cartridge (37).
楔形滑动件(410)还包括从基部平台(412)向上延伸的横向相对的一对外滑动件导轨(430),以及从基部平台(412)和凸起平台(414)两者向上延伸的横向相对的一对内滑动件导轨(432)。滑动件导轨(430,432)也可称为“凸轮斜坡”或“凸轮楔形件”。本型式的滑动件导轨(430,432)各自从基部平台(412)和凸起平台(414)的相应顶表面(418,420)横向向内倾斜或弯曲,使得滑动件导轨(430,432)相对于水平平面并相对于竖直-纵向平面倾斜地取向。更具体地,每个滑动件导轨(430,432)相对于竖直-纵向平面(或相对于与其平行的任何平面)以相同倾斜角(α)横向向内弯曲,使得竖直-纵向平面的每一侧上的滑动件导轨(430,432)彼此平行,并且使得楔形滑动件导轨(410)关于竖直-纵向平面(至少相对于滑动件导轨(430,432)的构型)基本上对称。在一些型式中,倾斜角(α)可为约7.5°。另选地,可使用任何其他合适的角度。Wedge slide (410) also includes a pair of laterally opposed outer slide rails (430) extending upwardly from base platform (412), and laterally opposed pair of outer slide rails (430) extending upwardly from both base platform (412) and raised platform (414). A pair of inner slide rails (432). The slider guides (430, 432) may also be referred to as "cam ramps" or "cam wedges". Slider rails (430, 432) of the present version are each sloped or curved laterally inwardly from respective top surfaces (418, 420) of base platform (412) and raised platform (414) such that slider rails (430, 432) are relative to a horizontal plane and opposite to each other. Oriented obliquely in the vertical-longitudinal plane. More specifically, each slider guide (430, 432) is curved laterally inward at the same angle of inclination (α) with respect to the vertical-longitudinal plane (or with respect to any plane parallel thereto), such that each vertical-longitudinal plane The slider rails (430, 432) on the sides are parallel to each other and make the wedge-shaped slider rail (410) substantially symmetrical about the vertical-longitudinal plane (at least with respect to the configuration of the slider rails (430, 432)). In some versions, the angle of inclination (α) may be about 7.5°. Alternatively, any other suitable angle may be used.
如图所示,滑动件导轨(430,432)被构造成能够被接收在仓体(70)的对应纵向延伸狭槽(73)内,并且被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应侧表面,由此在楔形滑动件(410)纵向移动通过钉仓(37)时水平地稳定壁(71)。例如,外和内滑动件导轨(430,432)可抑制壁(71)的横向向内和/或横向向外偏转(例如,弯曲)。在这点上,本型式的滑动件导轨(430,432)的横向向内弯曲构型可特别适合于抑制壁(71)的横向向外偏转。例如,本型式的滑动件导轨(430,432)可通过抵消可在使用(例如,夹紧和/或击发)期间施加到壁(71)的任何横向向外指向力而将对应壁(71)朝向基本上竖直取向偏压。在这点上,倾斜角(α)可被选择以实现由每个滑动件导轨(430,432)施加到对应壁(71)的期望量的横向向内指向力,该期望量的横向向内指向力足以克服此类横向向外指向力,同时导致对应壁(71)的有限横向向内弯曲或无横向向内弯曲。同样地,滑动件导轨(430,432)可各自分别以预定量的柔性附接到基部平台(412)和凸起平台(414)以通过允许滑动件导轨(430,432)在向其施加阈值力时被横向向外弹性推动而最小化对应壁(71)的横向向内弯曲。因此,滑动件导轨(430,432)可被认为是横向向内弹性偏压的。在一些型式中,滑动件导轨(430,432)可附加地或另选地被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应狭槽(73)的相应上狭槽表面,由此在楔形滑动件(410)纵向移动通过钉仓(37)时竖直地支撑上部平台(72)。As shown, the slider guides (430, 432) are configured to be received within corresponding longitudinally extending slots (73) of the cartridge body (70) and configured to slidably contact or otherwise engage the cartridge body A corresponding side surface of ( 70 ) corresponds to wall ( 71 ), thereby horizontally stabilizing wall ( 71 ) as wedge sled ( 410 ) moves longitudinally through cartridge ( 37 ). For example, outer and inner slider rails (430, 432) can inhibit lateral inward and/or lateral outward deflection (eg, bending) of wall (71). In this regard, the laterally inwardly curved configuration of the slider guides (430, 432) of this version may be particularly suited to inhibiting laterally outward deflection of the wall (71). For example, slider guides (430, 432) of the present type can direct the corresponding wall (71) toward substantially on the vertical orientation bias. In this regard, the angle of inclination (α) can be selected to achieve a desired amount of laterally inwardly directed force applied by each slider rail (430, 432) to the corresponding wall (71), which It is sufficient to overcome such laterally outwardly directed forces while causing limited or no laterally inwardly bending of the corresponding wall (71). Likewise, slider rails (430, 432) may each be attached to base platform (412) and raised platform (414) with a predetermined amount of flexibility, respectively, by allowing slider rails (430, 432) to be laterally moved when a threshold force is applied thereto. The outward elastic push minimizes the lateral inward bending of the corresponding wall (71). Accordingly, slider guides (430, 432) may be considered to be resiliently biased laterally inward. In some versions, the slider guides (430, 432) may additionally or alternatively be configured to slidably contact or otherwise engage respective upper slot surfaces of corresponding slots (73) of the cartridge body (70), Upper deck (72) is thereby supported vertically as wedge sled (410) moves longitudinally through staple cartridge (37).
楔形滑动件(410)还包括在内滑动件导轨(432)之间从凸起平台(414)向上延伸的中心鼻部(450)。在所示的示例中,中心鼻部(450)与每个内滑动件导轨(432)横向间隔开以限定凸起平台(414)的顶表面(420)。更具体地,中心鼻部(450)与内滑动件导轨(432)等距间隔开。Wedge slide (410) also includes a central nose (450) extending upwardly from raised platform (414) between inner slide rails (432). In the example shown, central nose (450) is laterally spaced from each inner slider rail (432) to define a top surface (420) of raised platform (414). More specifically, central nose (450) is equally spaced from inner slider rail (432).
如图所示,中心鼻部(450)被构造成能够至少部分地接收在钉仓(37)的竖直狭槽(49)内。在一些型式中,中心鼻部(450)被构造成能够可滑动地接触或以其他方式接合仓体(70)的内壁(71),由此在楔形滑动件(410)纵向移动通过钉仓(37)时竖直地支撑和/或水平地稳定内壁(71),如上文相对于中心鼻部(150,250)所述。例如,中心鼻部(450)可抑制本来可通过由对应内滑动件导轨(432)施加到内壁(71)的横向向内指向力引起的内壁(71)的横向向内偏转(例如,弯曲)。同样地,内滑动件导轨(432)可抑制本来可通过由对应外滑动件导轨(430)施加到外壁(71)的横向向内指向力引起的外壁(71)的横向向内偏转(例如,弯曲)。在一些型式中,可允许内壁和/或外壁(71)的某种横向向内挠曲,其不会使钉仓(37)的总体外部形状变形,并且更具体地,不会导致钉孔(51)相对于对应钉成形凹坑(53)的未对准。因此,当楔形滑动件(410)纵向移动通过钉仓(37)时,中心鼻部(450)和滑动件导轨(430,432)可在每个滑动件导轨(430,432)的相应纵向位置处协作地向仓体(70)提供改善的水平稳定性。应当理解,从图16的视图中有意地省略了砧座(18)。As shown, central nose (450) is configured to be at least partially received within vertical slot (49) of staple cartridge (37). In some versions, central nose (450) is configured to slidably contact or otherwise engage inner wall (71) of cartridge body (70), thereby moving longitudinally through wedge sled (410) through the staple cartridge ( 37) vertically supports and/or horizontally stabilizes the inner wall (71 ), as described above with respect to the central nose (150, 250). For example, the central nose (450) may inhibit lateral inward deflection (e.g., bending) of the inner wall (71) that would otherwise be caused by a laterally inwardly directed force applied to the inner wall (71) by the corresponding inner slider rail (432) . Likewise, the inner slider rails (432) can inhibit lateral inward deflection of the outer wall (71) that would otherwise be induced by a laterally inwardly directed force applied to the outer wall (71) by the corresponding outer slider rail (430) (e.g., bending). In some versions, some lateral inward deflection of the inner and/or outer walls (71) may be permitted without deforming the overall outer shape of the staple cartridge (37), and more specifically, without causing a staple hole ( 51) Misalignment relative to corresponding staple forming pockets (53). Accordingly, as wedge sled (410) moves longitudinally through staple cartridge (37), central nose (450) and sled rails (430, 432) can cooperatively move toward each other at the respective longitudinal positions of each sled rail (430, 432). The cartridge body (70) provides improved horizontal stability. It should be understood that the anvil ( 18 ) has been intentionally omitted from the view of FIG. 16 .
C.具有前端内倾的内滑动件导轨的示例性滑动件C. Exemplary Slider with Inner Slider Rails with Inverted Fronts
图17示出了包括基部的示例性楔形滑动件(510),该基部包括基部平台(512)和从基部平台(512)向上延伸的中心凸起平台(514)。在所示的示例中,基部平台(512)具有基本上平坦的底表面(516),该底表面限定水平平面并且被构造成能够在楔形滑动件(510)纵向移动通过钉仓(37)时沿托盘(74)纵向滑动。基部平台(512)还具有平行于底表面(516)的横向相对的一对基本上平坦的顶表面(518),并且凸起平台(514)类似地具有平行于底表面(516)的横向相对的一对基本上平坦的顶表面(520)。如图所示,顶表面(518,520)被构造成能够面对和/或可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应底表面,由此在楔形滑动件(510)纵向移动通过钉仓(37)时竖直地支撑对应壁(71)。Figure 17 shows an exemplary wedge slide (510) comprising a base including a base platform (512) and a central raised platform (514) extending upwardly from the base platform (512). In the example shown, base platform (512) has a substantially planar bottom surface (516) that defines a horizontal plane and is configured to enable the wedge sled (510) to move longitudinally through staple cartridge (37). Slide along the tray (74) lengthwise. Base platform (512) also has a pair of laterally opposed substantially planar top surfaces (518) parallel to bottom surface (516), and raised platform (514) similarly has laterally opposed pairs parallel to bottom surface (516). A pair of substantially planar top surfaces (520). As shown, the top surfaces (518, 520) are configured to face and/or slidably contact or otherwise engage a corresponding bottom surface of a corresponding wall (71) of the cartridge body (70), whereby the wedge-shaped slide (510) vertically supports the corresponding wall (71) as it moves longitudinally through the staple cartridge (37).
楔形滑动件(510)还包括从基部平台(512)向上延伸的横向相对的一对外滑动件导轨(530),以及从基部平台(512)和凸起平台(514)两者向上延伸的横向相对的一对内滑动件导轨(532)。滑动件导轨(530,532)也可称为“凸轮斜坡”或“凸轮楔形件”。本型式的外滑动件导轨(530)从基部平台(512)的相应顶表面(518)基本上笔直且直立地延伸,使得外滑动件导轨(530)相对于水平平面垂直地取向并且平行于竖直-纵向平面。本型式的内滑动件导轨(532)各自从凸起平台(514)的相应顶表面(520)横向向内倾斜或弯曲,使得内滑动件导轨(532)相对于水平平面并相对于竖直-纵向平面倾斜地取向。更具体地,每个内滑动件导轨(532)相对于竖直-纵向平面(或相对于与其平行的任何平面)以倾斜角(α)横向向内弯曲,使得内滑动件导轨(532)各自相对于相邻外滑动件导轨(530)倾斜地取向,并且使得楔形滑动件导轨(510)关于竖直-纵向平面(至少相对于滑动件导轨(530,532)的构型)基本上对称。在一些型式中,倾斜角(α)可为约7.5°。另选地,可使用任何其他合适的角度。Wedge slide (510) also includes a pair of laterally opposed outer slide rails (530) extending upwardly from base platform (512), and laterally opposed pair of outer slide rails (530) extending upwardly from both base platform (512) and raised platform (514). A pair of inner slide rails (532). The slider guides (530, 532) may also be referred to as "cam ramps" or "cam wedges". The outer slider rails (530) of the present version extend substantially straight and upright from the corresponding top surface (518) of the base platform (512) such that the outer slider rails (530) are oriented perpendicular to the horizontal plane and parallel to the vertical plane. Straight - longitudinal plane. The inner slide rails (532) of the present version each slope or curve laterally inwardly from the corresponding top surface (520) of the raised platform (514) such that the inner slide rails (532) are relative to the horizontal plane and relative to the vertical- The longitudinal plane is oriented obliquely. More specifically, each inner slider rail (532) is curved laterally inwardly at an angle of inclination (α) with respect to the vertical-longitudinal plane (or with respect to any plane parallel thereto) such that each inner slider rail (532) Oriented obliquely relative to adjacent outer slider rails (530) and such that wedge-shaped slider rails (510) are substantially symmetrical about a vertical-longitudinal plane (at least relative to the configuration of slider rails (530, 532)). In some versions, the angle of inclination (α) may be about 7.5°. Alternatively, any other suitable angle may be used.
如图所示,滑动件导轨(530,532)被构造成能够被接收在仓体(70)的对应纵向延伸狭槽(73)内,并且被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应侧表面,由此在楔形滑动件(510)纵向移动通过钉仓(37)时水平地稳定壁(71)。例如,外和内滑动件导轨(530,532)可抑制壁(71)的横向向内和/或横向向外偏转(例如,弯曲)。在这点上,本型式的内滑动件导轨(532)的横向向内弯曲构型可特别适合于抑制内壁(71)的横向向外偏转。例如,本型式的内滑动件导轨(532)可通过抵消可在使用(例如,夹紧和/或击发)期间施加到内壁(71)的任何横向向外指向力而将对应内壁(71)朝向基本上竖直取向偏压。在这点上,倾斜角(α)可被选择以实现由每个内滑动件导轨(532)施加到对应内壁(71)的期望量的横向向内指向力,该期望量的横向向内指向力足以克服此类横向向外指向力,同时导致对应壁(71)的有限横向向内弯曲或无横向向内弯曲。同样地,内滑动件导轨(532)可各自以预定量的柔性附接到凸起平台(514)以通过允许内滑动件导轨(532)在向其施加阈值力时被横向向外弹性推动而最小化对应壁(71)的横向向内弯曲。因此,内滑动件导轨(532)可被认为是横向向内弹性偏压的。在一些型式中,滑动件导轨(530,532)可附加地或另选地被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应狭槽(73)的相应上狭槽表面,由此在楔形滑动件(510)纵向移动通过钉仓(37)时竖直地支撑上部平台(72)。As shown, the slider guides (530, 532) are configured to be received within corresponding longitudinally extending slots (73) of the cartridge body (70) and configured to slidably contact or otherwise engage the cartridge body A corresponding side surface of ( 70 ) corresponds to wall ( 71 ), thereby horizontally stabilizing wall ( 71 ) as wedge sled ( 510 ) moves longitudinally through cartridge ( 37 ). For example, outer and inner slider rails (530, 532) can inhibit lateral inward and/or lateral outward deflection (eg, bending) of wall (71). In this regard, the laterally inwardly curved configuration of the present version of the inner slider rail (532) may be particularly suitable for inhibiting laterally outward deflection of the inner wall (71). For example, inner slider rails (532) of the present version can orient the corresponding inner wall (71) toward The bias is substantially vertically oriented. In this regard, the angle of inclination (α) can be selected to achieve a desired amount of laterally inwardly directed force applied by each inner slider rail (532) to the corresponding inner wall (71), the desired amount of laterally inwardly directed The force is sufficient to overcome such laterally outwardly directed force while causing limited or no laterally inward bending of the corresponding wall (71). Likewise, inner slider rails (532) may each be attached to raised platform (514) with a predetermined amount of flexibility to allow inner slider rails (532) to be resiliently urged laterally outward upon application of a threshold force thereto. The lateral inward bending of the corresponding wall (71) is minimized. Thus, the inner slide rail (532) may be considered to be resiliently biased laterally inward. In some versions, the slider guides (530, 532) may additionally or alternatively be configured to slidably contact or otherwise engage respective upper slot surfaces of corresponding slots (73) of the cartridge body (70), Upper deck (72) is thereby supported vertically as wedge sled (510) moves longitudinally through staple cartridge (37).
楔形滑动件(510)还包括在内滑动件导轨(532)之间从凸起平台(514)向上延伸的中心鼻部(550)。在所示的示例中,中心鼻部(550)与每个内滑动件导轨(532)横向间隔开以限定凸起平台(514)的顶表面(520)。更具体地,中心鼻部(550)与内滑动件导轨(532)等距间隔开。Wedge slide (510) also includes a central nose (550) extending upwardly from raised platform (514) between inner slide rails (532). In the example shown, central nose (550) is laterally spaced from each inner slider rail (532) to define top surface (520) of raised platform (514). More specifically, central nose (550) is equally spaced from inner slider rail (532).
如图所示,中心鼻部(550)被构造成能够至少部分地接收在钉仓(37)的竖直狭槽(49)内。在一些型式中,中心鼻部(550)被构造成能够可滑动地接触或以其他方式接合仓体(70)的内壁(71),由此在楔形滑动件(510)纵向移动通过钉仓(37)时竖直地支撑和/或水平地稳定内壁(71),如上文相对于中心鼻部(150,250)所述。例如,中心鼻部(550)可抑制本来可通过由对应内滑动件导轨(532)施加到内壁(71)的横向向内指向力引起的内壁(71)的横向向内偏转(例如,弯曲)。同样地,内滑动件导轨(532)可抑制本来可通过由对应外滑动件导轨(530)施加到外壁(71)的横向向内指向力引起的外壁(71)的横向向内偏转(例如,弯曲)。在一些型式中,可允许内壁和/或外壁(71)的某种横向向内挠曲,其不会使钉仓(37)的总体外部形状变形,并且更具体地,不会导致钉孔(51)相对于对应钉成形凹坑(53)的未对准。因此,当楔形滑动件(510)纵向移动通过钉仓(37)时,中心鼻部(550)和滑动件导轨(530,532)可在每个滑动件导轨(530,532)的相应纵向位置处协作地向仓体(70)提供改善的水平稳定性。应当理解,从图17的视图中有意地省略了砧座(18)。As shown, central nose (550) is configured to be at least partially received within vertical slot (49) of staple cartridge (37). In some versions, central nose (550) is configured to slidably contact or otherwise engage inner wall (71) of cartridge body (70), thereby moving longitudinally through wedge sled (510) through the staple cartridge ( 37) vertically supports and/or horizontally stabilizes the inner wall (71 ), as described above with respect to the central nose (150, 250). For example, the central nose (550) may inhibit lateral inward deflection (e.g., bending) of the inner wall (71) that would otherwise be caused by a laterally inwardly directed force applied to the inner wall (71) by the corresponding inner slider rail (532) . Likewise, the inner slider rails (532) can inhibit lateral inward deflection of the outer wall (71) that would otherwise be induced by a laterally inwardly directed force applied to the outer wall (71) by the corresponding outer slider rail (530) (e.g., bending). In some versions, some lateral inward deflection of the inner and/or outer walls (71) may be permitted without deforming the overall outer shape of the staple cartridge (37), and more specifically, without causing a staple hole ( 51) Misalignment relative to corresponding staple forming pockets (53). Accordingly, as wedge sled (510) moves longitudinally through staple cartridge (37), central nose (550) and sled rails (530, 532) can cooperatively move toward each other at the respective longitudinal positions of each sled rail (530, 532). The cartridge body (70) provides improved horizontal stability. It should be understood that the anvil ( 18 ) has been intentionally omitted from the view of FIG. 17 .
D.具有V形基部的示例性滑动件D. Exemplary slider with V-shaped base
图18示出了包括基部的示例性楔形滑动件(610),该基部包括基部平台(612)和从基部平台(612)向上延伸的中心凸起平台(614)。在所示的示例中,基部平台(612)和凸起平台(614)各自通过纵向延伸的倒V形狭槽(615)分叉,使得楔形滑动件610的横向相对半部可各自朝向彼此横向向内倾斜或弯曲。在这点上,基部平台(612)具有相对于水平平面(例如,由底表面(616)的最低横向内边缘共同限定)倾斜取向的一对横向相对的基本上平坦的底表面(616)。更具体地,每个底表面(616)相对于水平平面以相同倾斜角(θ)横向向内弯曲,使得基部平台(612)具有基本上V形的横截面,并且使得楔形滑动件(610)关于竖直-纵向平面(至少相对于底表面(616)的构型)基本上对称。基部平台(612)还具有平行于相应底表面(616)的横向相对的一对基本上平坦的顶表面(618),并且凸起平台(614)类似地具有平行于相对底表面(616)的横向相对的一对基本上平坦的顶表面(620)。顶表面(618,620)被构造成能够面对和/或可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应底表面,由此在楔形滑动件(610)纵向移动通过钉仓(37)时竖直地支撑对应壁(71)。Figure 18 shows an exemplary wedge slide (610) comprising a base including a base platform (612) and a central raised platform (614) extending upwardly from the base platform (612). In the example shown, base platform (612) and raised platform (614) are each bifurcated by a longitudinally extending inverted V-shaped slot (615) such that laterally opposite halves of wedge-shaped slide 610 can each be laterally directed towards each other. Slope or curve inward. In this regard, the base platform (612) has a pair of laterally opposing substantially planar bottom surfaces (616) oriented obliquely relative to a horizontal plane (eg, collectively defined by the lowest laterally inner edges of the bottom surface (616)). More specifically, each bottom surface (616) is curved laterally inwardly at the same angle of inclination (θ) with respect to the horizontal plane, such that the base platform (612) has a substantially V-shaped cross-section, and such that the wedge-shaped slide (610) It is substantially symmetrical about the vertical-longitudinal plane (at least with respect to the configuration of the bottom surface (616)). The base platform (612) also has a pair of laterally opposed substantially planar top surfaces (618) parallel to respective bottom surfaces (616), and the raised platform (614) similarly has a pair of laterally opposite bottom surfaces (616) parallel to them. A pair of laterally opposing substantially planar top surfaces (620). The top surfaces (618, 620) are configured to face and/or slidably contact or otherwise engage a corresponding bottom surface of a corresponding wall (71) of the cartridge body (70), thereby moving longitudinally in the wedge-shaped slide (610) The corresponding wall (71) is supported vertically while passing through the staple cartridge (37).
楔形滑动件(610)还包括从基部平台(612)向上延伸的横向相对的一对外滑动件导轨(630),以及从基部平台(612)和凸起平台(614)两者向上延伸的横向相对的一对内滑动件导轨(632)。滑动件导轨(630,632)也可称为“凸轮斜坡”或“凸轮楔形件”。本型式的滑动件导轨(630,632)从基部平台(612)和凸起平台(614)的相应顶表面(618,620)基本上笔直且直立地延伸,使得滑动件导轨(630,632)经由底表面(616)相对于水平平面的倾斜取向而相对于水平平面并相对于竖直-纵向平面倾斜地取向。更具体地,由于基部平台(612)的横向向内弯曲构型,每个滑动件导轨(630,632)相对于竖直-纵向平面(或相对于与其平行的任何平面)以相同倾斜角(α)横向向内弯曲,使得竖直-纵向平面的每一侧上的滑动件导轨(630,632)彼此平行,并且使得楔形滑动件导轨(610)关于竖直-纵向平面(至少相对于滑动件导轨(630,632)的构型)基本上对称。在一些型式中,倾斜角(α)可为约7.5°。另选地,可使用任何其他合适的角度。Wedge slide (610) also includes a pair of laterally opposed outer slide rails (630) extending upwardly from base platform (612), and laterally opposed pair of outer slide rails (630) extending upwardly from both base platform (612) and raised platform (614). A pair of inner slide rails (632). The slider guides (630, 632) may also be referred to as "cam ramps" or "cam wedges". The slider rails (630, 632) of the present version extend substantially straight and upright from the respective top surfaces (618, 620) of the base platform (612) and raised platform (614) such that the slider rails (630, 632) pass through the bottom surface (616) Oriented obliquely relative to the horizontal plane and relative to the vertical-longitudinal plane. More specifically, due to the laterally inwardly curved configuration of the base platform (612), each slider rail (630, 632) is inclined at the same angle (α) relative to the vertical-longitudinal plane (or relative to any plane parallel thereto). Curved laterally inwards such that the slider rails (630, 632) on each side of the vertical-longitudinal plane are parallel to each other and such that the wedge-shaped slider rails (610) are ) configuration) is basically symmetrical. In some versions, the angle of inclination (α) may be about 7.5°. Alternatively, any other suitable angle may be used.
滑动件导轨(630,632)被构造成能够被接收在仓体(70)的对应纵向延伸狭槽(73)内,并且被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应侧表面,由此在楔形滑动件(610)纵向移动通过钉仓(37)时水平地稳定壁(71)。例如,外和内滑动件导轨(630,632)可抑制壁(71)的横向向内和/或横向向外偏转(例如,弯曲)。在这点上,本型式的滑动件导轨(630,632)的横向向内弯曲构型可特别适合于抑制壁(71)的横向向外偏转。例如,本型式的滑动件导轨(630,632)可通过抵消可在使用(例如,夹紧和/或击发)期间施加到壁(71)的任何横向向外指向力而将对应壁(71)朝向基本上竖直取向偏压。在这点上,倾斜角(θ)和/或倾斜角(α)可被选择以实现由每个滑动件导轨(630,632)施加到对应壁(71)的期望量的横向向内指向力,该期望量的横向向内指向力足以克服此类横向向外指向力,同时导致对应壁(71)的有限横向向内弯曲或无横向向内弯曲。狭槽(615)可向楔形滑动件(610)的横向相对的半部提供预定量的柔性以通过允许滑动件导轨(630,632)在向其施加阈值力时被横向向外弹性推动而最小化对应壁(71)的横向向内弯曲。因此,滑动件导轨(630,632)可被认为是横向向内弹性偏压的。在一些型式中,滑动件导轨(630,632)可附加地或另选地被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应狭槽(73)的相应上狭槽表面,由此在楔形滑动件(610)纵向移动通过钉仓(37)时竖直地支撑上部平台(72)。The slider guides (630, 632) are configured to be received within corresponding longitudinally extending slots (73) of the cartridge body (70) and configured to slidably contact or otherwise engage corresponding slots (73) of the cartridge body (70). Respective side surfaces of wall (71 ), thereby stabilizing wall (71 ) horizontally as wedge sled (610) moves longitudinally through cartridge (37). For example, outer and inner slider rails (630, 632) can inhibit lateral inward and/or lateral outward deflection (eg, bending) of wall (71). In this regard, the laterally inwardly curved configuration of the slide rails (630, 632) of this version may be particularly suited to inhibiting laterally outward deflection of the wall (71). For example, slider guides (630, 632) of the present type can orient the corresponding wall (71) toward substantially on the vertical orientation bias. In this regard, the angle of inclination (θ) and/or angle of inclination (α) may be selected to achieve a desired amount of laterally inwardly directed force applied by each slider rail (630, 632) to the corresponding wall (71 ), which A desired amount of laterally inwardly directed force is sufficient to overcome such laterally outwardly directed force while causing limited or no laterally inwardly bending of the corresponding wall (71). Slots (615) may provide a predetermined amount of flexibility to laterally opposite halves of wedge-shaped slider (610) to minimize the corresponding The transverse direction of the wall (71) is inwardly curved. Accordingly, the slider guides (630, 632) may be considered to be resiliently biased laterally inward. In some versions, the slider guides (630, 632) may additionally or alternatively be configured to slidably contact or otherwise engage respective upper slot surfaces of corresponding slots (73) of the cartridge body (70), Upper deck (72) is thereby supported vertically as wedge sled (610) moves longitudinally through staple cartridge (37).
楔形滑动件(610)还包括在内滑动件导轨(632)之间从凸起平台(614)向上延伸的中心鼻部(650)。在所示的示例中,中心鼻部(650)与每个凹陷部(634)横向间隔开以限定凸起平台(614)的顶表面(620)。Wedge slide (610) also includes a central nose (650) extending upwardly from raised platform (614) between inner slide rails (632). In the example shown, a central nose ( 650 ) is laterally spaced from each recess ( 634 ) to define a top surface ( 620 ) of raised platform ( 614 ).
中心鼻部(650)被构造成能够至少部分地接收在钉仓(37)的竖直狭槽(49)内。在一些型式中,中心鼻部(650)被构造成能够可滑动地接触或以其他方式接合仓体(70)的内壁(71),由此在楔形滑动件(610)纵向移动通过钉仓(37)时竖直地支撑和/或水平地稳定内壁(71),如上文相对于中心鼻部(150,250)所述。例如,中心鼻部(650)可抑制本来可通过由对应内滑动件导轨(632)施加到内壁(71)的横向向内指向力引起的内壁(71)的横向向内偏转(例如,弯曲)。同样地,内滑动件导轨(632)可抑制本来可通过由对应外滑动件导轨(630)施加到外壁(71)的横向向内指向力引起的外壁(71)的横向向内偏转(例如,弯曲)。在一些型式中,可允许内壁和/或外壁(71)的某种横向向内挠曲,其不会使钉仓(37)的总体外部形状变形,并且更具体地,不会导致钉孔(51)相对于对应钉成形凹坑(53)的未对准。因此,当楔形滑动件(610)纵向移动通过钉仓(37)时,中心鼻部(650)和滑动件导轨(630,632)可在每个滑动件导轨(630,632)的相应纵向位置处协作地向仓体(70)提供改善的水平稳定性。Central nose (650) is configured to be at least partially received within vertical slot (49) of staple cartridge (37). In some versions, central nose (650) is configured to slidably contact or otherwise engage inner wall (71) of cartridge body (70), thereby moving longitudinally through wedge sled (610) through the staple cartridge ( 37) vertically supports and/or horizontally stabilizes the inner wall (71 ), as described above with respect to the central nose (150, 250). For example, the central nose (650) may inhibit lateral inward deflection (e.g., bending) of the inner wall (71) that would otherwise be caused by a laterally inwardly directed force applied to the inner wall (71) by the corresponding inner slider rail (632) . Likewise, the inner slider rails (632) can inhibit lateral inward deflection of the outer wall (71) that would otherwise be induced by a laterally inwardly directed force applied to the outer wall (71) by the corresponding outer slider rail (630) (e.g., bending). In some versions, some lateral inward deflection of the inner and/or outer walls (71) may be permitted without deforming the overall outer shape of the staple cartridge (37), and more specifically, without causing a staple hole ( 51) Misalignment relative to corresponding staple forming pockets (53). Accordingly, as wedge sled (610) moves longitudinally through staple cartridge (37), central nose (650) and sled rails (630, 632) can cooperatively move toward each other at the respective longitudinal positions of each sled rail (630, 632). The cartridge body (70) provides improved horizontal stability.
E.具有分叉鼻部的示例性滑动件E. Exemplary slider with bifurcated nose
图19示出了包括基部的示例性楔形滑动件(710),该基部包括基部平台(712)和从基部平台(712)向上延伸的中心凸起平台(714)。在所示的示例中,基部平台(712)具有基本上平坦的底表面(716),该底表面限定水平平面并且被构造成能够在楔形滑动件(710)纵向移动通过钉仓(37)时沿托盘(74)纵向滑动。基部平台(712)还具有平行于底表面(716)的横向相对的一对基本上平坦的顶表面(718),并且凸起平台(714)类似地具有平行于底表面(716)的横向相对的一对基本上平坦的顶表面(720)。顶表面(718,720)被构造成能够面对和/或可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应底表面,由此在楔形滑动件(710)纵向移动通过钉仓(37)时竖直地支撑对应壁(71)。Figure 19 shows an exemplary wedge slide (710) comprising a base including a base platform (712) and a central raised platform (714) extending upwardly from the base platform (712). In the example shown, base platform (712) has a substantially planar bottom surface (716) that defines a horizontal plane and is configured to enable a wedge sled (710) to move longitudinally through staple cartridge (37). Slide along the tray (74) lengthwise. Base platform (712) also has a pair of laterally opposed substantially planar top surfaces (718) parallel to bottom surface (716), and raised platform (714) similarly has laterally opposed pairs parallel to bottom surface (716). A pair of substantially planar top surfaces (720). Top surfaces (718, 720) are configured to face and/or slidably contact or otherwise engage corresponding bottom surfaces of corresponding walls (71) of cartridge body (70), thereby moving longitudinally in wedge-shaped slide (710) The corresponding wall (71) is supported vertically while passing through the staple cartridge (37).
楔形滑动件(710)还包括从基部平台(712)向上延伸的横向相对的一对外滑动件导轨(730),以及从基部平台(712)和凸起平台(714)两者向上延伸的横向相对的一对内滑动件导轨(732)。滑动件导轨(730,732)也可称为“凸轮斜坡”或“凸轮楔形件”。本型式的滑动件导轨(730,732)各自从基部平台(712)和凸起平台(714)的相应顶表面(718,720)横向向内倾斜或弯曲,使得滑动件导轨(730,732)相对于水平平面并相对于竖直-纵向平面倾斜地取向。更具体地,每个滑动件导轨(730,732)相对于竖直-纵向平面(或相对于与其平行的任何平面)以相同倾斜角(α)横向向内弯曲,使得竖直-纵向平面的每一侧上的滑动件导轨(730,732)彼此平行,并且使得楔形滑动件导轨(710)关于竖直-纵向平面(至少相对于滑动件导轨(730,732)的构型)基本上对称。在一些型式中,倾斜角(α)可为约7.5°。另选地,可使用任何其他合适的角度。在所示的示例中,楔形滑动件(710)包括邻近对应内滑动件导轨(732)从凸起平台(714)的顶表面(720)向下延伸的横向相对的一对凹陷部(734)以辅助促进内滑动件导轨(732)的横向向内弯曲构型。凹陷部(734)也可被称为“底切部”。在一些型式中,凹陷部(734)可各自至少部分地沿着相应内滑动件导轨(732)的长度延伸。Wedge slide (710) also includes a pair of laterally opposed outer slide rails (730) extending upwardly from base platform (712), and laterally opposed pair of outer slide rails (730) extending upwardly from both base platform (712) and raised platform (714). A pair of inner slide rails (732). The slider guides (730, 732) may also be referred to as "cam ramps" or "cam wedges". Slider rails (730, 732) of this version are each sloped or curved laterally inwardly from respective top surfaces (718, 720) of base platform (712) and raised platform (714) so that slider rails (730, 732) are relative to a horizontal plane and opposite to each other. Oriented obliquely in the vertical-longitudinal plane. More specifically, each slider guide (730, 732) is curved laterally inward at the same angle of inclination (α) with respect to the vertical-longitudinal plane (or with respect to any plane parallel thereto), such that each vertical-longitudinal plane The slider rails (730, 732) on the sides are parallel to each other and make the wedge-shaped slider rail (710) substantially symmetrical about the vertical-longitudinal plane (at least with respect to the configuration of the slider rails (730, 732)). In some versions, the angle of inclination (α) may be about 7.5°. Alternatively, any other suitable angle may be used. In the example shown, wedge slide (710) includes a pair of laterally opposing recesses (734) extending downwardly from the top surface (720) of raised platform (714) adjacent to corresponding inner slide rails (732) To help facilitate the laterally inwardly curved configuration of the inner slider rail (732). The depressions (734) may also be referred to as "undercuts." In some versions, recesses (734) may each extend at least partially along the length of a respective inner slider rail (732).
滑动件导轨(730,732)被构造成能够被接收在仓体(70)的对应纵向延伸狭槽(73)内,并且被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应壁(71)的相应侧表面,由此在楔形滑动件(710)纵向移动通过钉仓(37)时水平地稳定壁(71)。例如,外和内滑动件导轨(730,732)可抑制壁(71)的横向向内和/或横向向外偏转(例如,弯曲)。在这点上,本型式的滑动件导轨(730,732)的横向向内弯曲构型可特别适合于抑制壁(71)的横向向外偏转。例如,本型式的滑动件导轨(730,732)可通过抵消可在使用(例如,夹紧和/或击发)期间施加到壁(71)的任何横向向外指向力而将对应壁(71)朝向基本上竖直取向偏压。在这点上,倾斜角(α)可被选择以实现由每个滑动件导轨(730,732)施加到对应壁(71)的期望量的横向向内指向力,该期望量的横向向内指向力足以克服此类横向向外指向力,同时导致对应壁(71)的有限横向向内弯曲或无横向向内弯曲。同样地,滑动件导轨(730,732)可各自分别以预定量的柔性附接到基部平台(712)和凸起平台(714)以通过允许滑动件导轨(730,732)在向其施加阈值力时被横向向外弹性推动而最小化对应壁(71)的横向向内弯曲。因此,滑动件导轨(730,732)可被认为是横向向内弹性偏压的。在一些型式中,滑动件导轨(730,732)可附加地或另选地被构造成能够可滑动地接触或以其他方式接合仓体(70)的对应狭槽(73)的相应上狭槽表面,由此在楔形滑动件(710)纵向移动通过钉仓(37)时竖直地支撑上部平台(72)。Slider rails (730, 732) are configured to be received within corresponding longitudinally extending slots (73) of the cartridge body (70) and configured to slidably contact or otherwise engage corresponding slots (73) of the cartridge body (70). The respective side surfaces of wall (71 ), thereby stabilizing wall (71 ) horizontally as wedge sled (710) moves longitudinally through cartridge (37). For example, outer and inner slider rails (730, 732) can inhibit lateral inward and/or lateral outward deflection (eg, bending) of wall (71). In this regard, the laterally inwardly curved configuration of the slide rails (730, 732) of this version may be particularly well suited to inhibit laterally outward deflection of the wall (71). For example, slider guides (730, 732) of the present type can direct the corresponding wall (71) toward substantially on the vertical orientation bias. In this regard, the angle of inclination (α) can be selected to achieve a desired amount of laterally inwardly directed force applied by each slider rail (730, 732) to the corresponding wall (71), which It is sufficient to overcome such laterally outwardly directed forces while causing limited or no laterally inwardly bending of the corresponding wall (71). Likewise, slider rails (730, 732) may each be attached to base platform (712) and raised platform (714) with a predetermined amount of flexibility, respectively, by allowing slider rails (730, 732) to be laterally moved when a threshold force is applied thereto. The outward elastic push minimizes the lateral inward bending of the corresponding wall (71). Accordingly, slider guides (730, 732) may be considered to be resiliently biased laterally inward. In some versions, the slider guides (730, 732) may additionally or alternatively be configured to slidably contact or otherwise engage respective upper slot surfaces of corresponding slots (73) of the cartridge body (70), Upper deck (72) is thereby supported vertically as wedge sled (710) moves longitudinally through staple cartridge (37).
楔形滑动件(710)还包括在内滑动件导轨(732)之间从凸起平台(714)向上延伸的中心鼻部(750)。在所示的示例中,中心鼻部(750)与每个凹陷部(734)横向间隔开以限定凸起平台(714)的顶表面(720)。在本型式中,中心鼻部(750)通过纵向延伸的U形狭槽(751)分叉以促进中心鼻部(750)的横向向内偏转(例如,弯曲)。Wedge slide (710) also includes a central nose (750) extending upwardly from raised platform (714) between inner slide rails (732). In the example shown, a central nose ( 750 ) is laterally spaced from each recess ( 734 ) to define a top surface ( 720 ) of raised platform ( 714 ). In this version, central nose (750) is bifurcated by longitudinally extending U-shaped slots (751) to facilitate lateral inward deflection (eg, bending) of central nose (750).
中心鼻部(750)被构造成能够至少部分地接收在钉仓(37)的竖直狭槽(49)内。在一些型式中,中心鼻部(750)被构造成能够可滑动地接触或以其他方式接合仓体(70)的内壁(71),由此在楔形滑动件(710)纵向移动通过钉仓(37)时竖直地支撑和/或水平地稳定内壁(71),如上文相对于中心鼻部(150,250)所述。例如,中心鼻部(750)可抑制本来可通过由对应内滑动件导轨(732)施加到内壁(71)的横向向内指向力引起的内壁(71)的横向向内偏转(例如,弯曲)。同样地,内滑动件导轨(732)可抑制本来可通过由对应外滑动件导轨(730)施加到外壁(71)的横向向内指向力引起的外壁(71)的横向向内偏转(例如,弯曲)。在一些型式中,可允许内壁和/或外壁(71)的某种横向向内挠曲,其不会使钉仓(37)的总体外部形状变形,并且更具体地,不会导致钉孔(51)相对于对应钉成形凹坑(53)的未对准。在这点上,中心鼻部(750)可横向向内弯曲以适应内壁(71)的此类允许的横向向内偏转。因此,当楔形滑动件(710)纵向移动通过钉仓(37)时,中心鼻部(750)和滑动件导轨(730,732)可在每个滑动件导轨(730,732)的相应纵向位置处协作地向仓体(70)提供改善的水平稳定性。Central nose (750) is configured to be at least partially received within vertical slot (49) of staple cartridge (37). In some versions, central nose (750) is configured to slidably contact or otherwise engage inner wall (71) of cartridge body (70), thereby moving longitudinally through wedge sled (710) through the staple cartridge ( 37) vertically supports and/or horizontally stabilizes the inner wall (71 ), as described above with respect to the central nose (150, 250). For example, the central nose (750) may inhibit lateral inward deflection (e.g., bending) of the inner wall (71) that would otherwise be caused by a laterally inwardly directed force applied to the inner wall (71) by the corresponding inner slider rail (732) . Likewise, the inner slider rails (732) can inhibit lateral inward deflection of the outer wall (71) that would otherwise be induced by a laterally inwardly directed force applied to the outer wall (71) by the corresponding outer slider rail (730) (e.g., bending). In some versions, some lateral inward deflection of the inner and/or outer walls (71) may be permitted without deforming the overall outer shape of the staple cartridge (37), and more specifically, without causing a staple hole ( 51) Misalignment relative to corresponding staple forming pockets (53). In this regard, central nose (750) may flex laterally inward to accommodate such permitted lateral inward deflection of inner wall (71). Accordingly, as wedge sled (710) moves longitudinally through staple cartridge (37), central nose (750) and sled rails (730, 732) can cooperatively move toward each other at the respective longitudinal positions of each sled rail (730, 732). The cartridge body (70) provides improved horizontal stability.
虽然本型式的楔形滑件(110,210,310,410,510,610,710)在本文中结合被构造成能够用于与腹腔镜外科缝合器一起使用的钉仓(诸如钉仓(37))示出和描述,但应当理解,其他型式的楔形滑件(110,210,310,410,510,610,710)可适于与被构造成能够用于与开放式外科手术中的非腹腔镜外科缝合器一起使用的钉仓一起使用。此类非腹腔镜外科缝合器的示例在以下文献中公开:2020年2月13日公布的名称为“Firing System for LinearSurgical Stapler”的美国专利公布2020/0046350号;2020年2月13日公布的名称为“Decoupling Mechanism for Linear Surgical Stapler”的美国专利公布2020/0046351号;2020年2月13日公布的名称为“Clamping Assembly for Linear Surgical Stapler”的美国专利公布2020/0046353号;和2019年8月9日提交的名称为“Linear SurgicalStapler”的美国申请16/537,005号。这些参考文献的公开内容均以引用方式并入本文。While this version of wedge sled (110, 210, 310, 410, 510, 610, 710) is shown and described herein in connection with a staple cartridge (such as staple cartridge (37)) configured for use with a laparoscopic surgical stapler, it should be understood that other versions The wedge sleds (110, 210, 310, 410, 510, 610, 710) of the disclosed embodiments may be adapted for use with staple cartridges configured for use with non-laparoscopic surgical staplers in open surgical procedures. Examples of such non-laparoscopic surgical staplers are disclosed in U.S. Patent Publication No. 2020/0046350, published February 13, 2020, entitled "Firing System for Linear Surgical Stapler"; U.S. Patent Publication No. 2020/0046351, entitled "Decoupling Mechanism for Linear Surgical Stapler"; U.S. Patent Publication No. 2020/0046353, entitled "Clamping Assembly for Linear Surgical Stapler," published February 13, 2020; and U.S. Application No. 16/537,005, entitled "Linear Surgical Stapler," filed May 9. The disclosures of these references are incorporated herein by reference.
V.集成到仓中的示例性偏压特征部V. Exemplary Biasing Features Integrated into the Cartridge
在一些情况下,可能期望通过横向向内偏压邻近楔形滑动件(41)的仓体的壁来提供与钉仓(37)相比具有改善的水平稳定性的钉仓。图20示出了提供此类功能的示例性钉仓(868)。钉仓(868)除了下文另外描述的之外类似于上述钉仓(37)。例如,钉仓(37)被构造成能够可移除地安装到下钳口(16)的通道(39)中。In some instances, it may be desirable to provide a staple cartridge with improved horizontal stability compared to staple cartridge ( 37 ) by laterally inwardly biasing the wall of the cartridge body adjacent wedge sled ( 41 ). FIG. 20 shows an exemplary staple cartridge (868) that provides such functionality. Cartridge (868) is similar to cartridge (37) described above except as otherwise described below. For example, staple cartridge (37) is configured to be removably mountable into channel (39) of lower jaw (16).
如图所示,该示例的钉仓(868)包括仓体(870),该仓体具有多个壁(871)并且呈现上部平台(872)。仓体(870)还具有定位在相应壁(871)之间的多个纵向延伸狭槽(873)。仓体(870)与下部仓托盘(874)耦接。如图所示,竖直狭槽(849)被形成为穿过钉仓(868)的一部分。三排钉孔(851)被形成为在竖直狭槽(849)的一侧上穿过上部平台(872),另一组三排钉孔(851)被形成为在竖直狭槽(849)的另一侧上穿过上部平台(872)。As shown, staple cartridge (868) of this example includes a cartridge body (870) having a plurality of walls (871 ) and presenting an upper deck (872). Cartridge body (870) also has a plurality of longitudinally extending slots (873) positioned between respective walls (871). The cartridge body (870) is coupled to the lower cartridge tray (874). As shown, vertical slot (849) is formed through a portion of staple cartridge (868). Three rows of nail holes (851) are formed through the upper platform (872) on one side of the vertical slot (849), and another set of three rows of nail holes (851) are formed through the vertical slot (849). ) through the upper platform (872) on the other side.
在本型式中,仓体(870)包括在托盘(874)上方从仓体(870)的相对侧横向向外延伸的横向相对的一对上突起(875)。类似地,托盘(874)包括从托盘(874)的相对侧横向向外延伸的横向相对的一对下突起(876)。突起(875,876)被构造成能够邻接或以其他方式接合下钳口(16)的通道(39)的相应侧表面,由此在楔形滑动件(未示出)(诸如上述楔形滑动件(41,110,210,310,410,510,610,710)中的任一者)纵向移动通过钉仓(37)时水平地稳定壁(871)。例如,突起(875,876)可抑制壁(871)的横向向外偏转(例如,弯曲)。在这点上,本型式的突起(875,876)可通过抵消可在使用(例如,夹紧和/或击发)期间施加到壁(871)的任何横向向外指向力而将对应壁(871)朝向基本上竖直取向偏压。在一些型式中,可省略一个或两个上突起(875)。在一些其他型式中,可省略一个或两个下突起(876)。In this version, the cartridge body (870) includes a pair of laterally opposed upper protrusions (875) extending laterally outward from opposite sides of the cartridge body (870) above the tray (874). Similarly, tray (874) includes a pair of laterally opposing lower protrusions (876) extending laterally outward from opposite sides of tray (874). The protrusions (875, 876) are configured to abut or otherwise engage respective side surfaces of the channel (39) of the lower jaw (16), whereby a wedge slide (not shown) such as the wedge slides (41, 110, 210, 310, 410, 510, 610, 710 described above) Either) horizontally stabilizes wall (871) as it moves longitudinally through staple cartridge (37). For example, protrusions (875, 876) can inhibit lateral outward deflection (eg, bending) of wall (871). In this regard, protrusions (875, 876) of this type can orient the corresponding wall (871) toward The bias is substantially vertically oriented. In some versions, one or both upper protrusions (875) may be omitted. In some other versions, one or both lower protrusions (876) may be omitted.
VI.具有带有用于减少组织间隙的突起的仓托盘的示例性仓VI. Exemplary cartridge with a cartridge tray with protrusions for reducing tissue gaps
在一些情况下,可能期望提供与钉仓(37)相比使得能够减少钉仓的上部平台与砧座(18)的具有钉成形凹坑(53)的内表面之间的组织间隙,由此产生更紧密成形的钉(47)的钉仓。图21示出了提供此类功能的示例性钉仓(968)。钉仓(968)除了下文另外描述的之外类似于上述钉仓(37)。例如,钉仓(37)被构造成能够可移除地安装到下钳口(16)的通道(39)中。In some cases, it may be desirable to provide a tissue gap between the upper platform of the staple cartridge and the inner surface of the anvil (18) with the staple forming pockets (53) that can be reduced compared to the staple cartridge (37), thereby A cartridge of more tightly formed staples (47) is produced. FIG. 21 shows an exemplary staple cartridge (968) that provides such functionality. Cartridge (968) is similar to cartridge (37) described above except as otherwise described below. For example, staple cartridge (37) is configured to be removably mountable into channel (39) of lower jaw (16).
如图所示,本示例的钉仓(968)包括仓体(70),该仓体与下部仓托盘(974)耦接。在本型式中,托盘(974)包括从托盘(974)的下表面向下延伸的横向相对的一对外突起(975),以及从托盘(974)的下表面向下延伸的横向相对的一对内突起(976)。在一些型式中,突起(975,976)可各自具有相对于托盘(974)的下表面的高度(H),该高度(H)大于托盘(974)的材料厚度(T)。例如,突起(975,976)可各自具有相对于托盘(974)的下表面的约0.010英寸的高度(H),而托盘(974)可具有约0.007英寸的材料厚度(T)。另选地,可使用任何其他合适高度的突起(975,976)。在任何情况下,突起(975,976)被构造成能够邻接或以其他方式接合下钳口(16)的通道(39)的上表面,由此将托盘(974)竖直地支撑在下钳口(16)的通道(39)的上表面上方。例如,与托盘(74)相比,突起(975,976)可使托盘(974)的上表面(例如,楔形滑动件诸如楔形滑动件(310)可沿其纵向平移)相对于通道(39)的上表面的高度增加突起(975,976)的高度(H),由此也使上部平台(72)相对于通道(39)的上表面的高度增加突起(975,976)的高度(H)。因此,上部平台(72)可通过内和外组织间隙(Gi,Go)与砧座(18)的具有钉成形凹坑(53)的内表面间隔开,该内和外组织间隙分别比在不存在突起(975,976)的情况下所提供的那些组织间隙小突起(975,976)的高度(H)。例如,内组织间隙(Gi)可以是约0.04英寸,和/或外组织间隙(Go)可以是约0.055英寸。以此方式,钉仓(968)可与砧座(18)协作以产生与由钉仓(37)产生的那些相比更紧密地成形的钉(47),并且因此可以能够与由钉仓(37)产生的那些相比更紧密地夹紧组织。As shown, the staple cartridge (968) of the present example includes a cartridge body (70) coupled to a lower cartridge tray (974). In this version, the tray (974) includes a pair of laterally opposite outer projections (975) extending downwardly from the lower surface of the tray (974), and a pair of laterally opposing protrusions (975) extending downwardly from the lower surface of the tray (974). Inner protrusion (976). In some versions, protrusions (975, 976) may each have a height (H) relative to the lower surface of tray (974) that is greater than the material thickness (T) of tray (974). For example, protrusions (975, 976) may each have a height (H) of about 0.010 inches relative to the lower surface of tray (974), while tray (974) may have a material thickness (T) of about 0.007 inches. Alternatively, protrusions (975, 976) of any other suitable height may be used. In any event, the protrusions (975, 976) are configured to abut or otherwise engage the upper surface of the channel (39) of the lower jaw (16), thereby supporting the tray (974) vertically on the lower jaw (16). ) above the upper surface of the channel (39). For example, protrusions (975, 976) may cause the upper surface of tray (974) (e.g., along which a wedge slide such as wedge slide (310) may translate longitudinally) relative to the upper surface of channel (39), as compared to tray (74). The height of the surface increases the height (H) of the protrusions (975, 976), thereby also increasing the height of the upper platform (72) relative to the upper surface of the channel (39) by the height (H) of the protrusions (975, 976). Accordingly, the upper platform (72) may be spaced apart from the inner surface of the anvil (18) having the staple forming pockets (53) by inner and outer tissue gaps (Gi, Go), respectively The height (H) of those interstitial small protrusions (975, 976) provided in the presence of protrusions (975, 976). For example, the inner tissue gap (Gi) can be about 0.04 inches, and/or the outer tissue gap (Go) can be about 0.055 inches. In this manner, staple cartridge (968) may cooperate with anvil (18) to produce more tightly formed staples (47) than those produced by staple cartridge (37), and thus may be capable of interacting with staple cartridges ( 37) resulting in a tighter clamping of tissue than those produced.
VII.组合的示例VII. Examples of combinations
以下实施例涉及本文的教导内容可被组合或应用的各种非穷尽性方式。应当理解,以下实施例并非旨在限制可在本专利申请或本专利申请的后续提交文件中的任何时间提供的任何权利要求的覆盖范围。不旨在进行免责声明。提供以下实施例仅仅是出于例示性目的。预期本文的各种教导内容可按多种其他方式进行布置和应用。还设想到,一些变型可省略在以下实施例中所提及的某些特征。因此,下文提及的方面或特征中的任一者均不应被视为决定性的,除非另外例如由发明人或关注发明人的继承者在稍后日期明确指明如此。如果本专利申请或与本专利申请相关的后续提交文件中提出的任何权利要求包括下文提及的那些特征之外的附加特征,则这些附加特征不应被假定为因与专利性相关的任何原因而被添加。The following examples relate to various non-exhaustive ways in which the teachings herein can be combined or applied. It should be understood that the following examples are not intended to limit the scope of coverage of any claims that may be presented at any time in this patent application or a subsequent filing of this patent application. No disclaimer of liability is intended. The following examples are provided for illustrative purposes only. It is contemplated that the various teachings herein can be arranged and applied in numerous other ways. It is also contemplated that some variations may omit certain features mentioned in the following embodiments. Accordingly, none of the aspects or features mentioned below should be considered conclusive unless expressly indicated otherwise at a later date, eg, by the inventor or successors of the concerned inventor. If any claims presented in this patent application or a subsequent filing related to this patent application include additional features other than those mentioned below, these additional features should not be presumed to be for any reason relevant to patentability and was added.
实施例1Example 1
一种用于外科缝合器的钉驱动器致动器,该钉驱动器致动器包括:(a)基部,该基部具有至少一个底表面,其中该至少一个底表面限定平面,其中该至少一个底表面被构造成能够相对于该外科缝合器的缝合组件纵向滑动;(b)至少一个导轨,该至少一个导轨从该基部向上延伸,其中该至少一个导轨包括至少一个导轨凸轮表面,其中该至少一个导轨凸轮表面相对于该平面倾斜;(c)第一表面纹理,该第一表面纹理在该钉驱动器致动器的第一部分上;和(d)第二表面纹理,该第二表面纹理在该钉驱动器致动器的第二部分上,其中该第二表面纹理比该第一表面纹理更平滑。A staple driver actuator for a surgical stapler, the staple driver actuator comprising: (a) a base having at least one bottom surface, wherein the at least one bottom surface defines a plane, wherein the at least one bottom surface Be configured to slide longitudinally with respect to the suture assembly of this surgical stapler; (b) at least one guide rail, this at least one guide rail extends upwardly from this base, wherein this at least one guide rail comprises at least one guide rail cam surface, wherein this at least one guide rail The cam surface is inclined relative to the plane; (c) a first surface texture on the first portion of the staple driver actuator; and (d) a second surface texture on the staple On a second portion of the drive actuator, wherein the second surface texture is smoother than the first surface texture.
实施例2Example 2
根据实施例1所述的钉驱动器致动器,其中,该第一表面纹理包括金属注射模制颗粒状表面纹理。The staple driver actuator of embodiment 1, wherein the first surface texture comprises a metal injection molded granular surface texture.
实施例3Example 3
根据实施例1至2中任一项或多项所述的钉驱动器致动器,其中,该第二表面纹理包括机加工表面纹理。The staple driver actuator of any one or more of embodiments 1-2, wherein the second surface texture comprises a machined surface texture.
实施例4Example 4
根据实施例1至3中任一项或多项所述的钉驱动器致动器,其中,该第一表面纹理被构造成能够接合该缝合组件的第一部分,其中该第二表面纹理被构造成能够接合该缝合组件的与该第一部分不同的第二部分。The staple driver actuator according to any one or more of embodiments 1-3, wherein the first surface texture is configured to engage the first portion of the stapling assembly, wherein the second surface texture is configured to A second portion of the suturing assembly distinct from the first portion is capable of engaging.
实施例5Example 5
根据实施例1至4中任一项或多项所述的钉驱动器致动器,其中,该第二表面纹理由该至少一个导轨的该至少一个导轨凸轮表面呈现。The staple driver actuator of any one or more of embodiments 1-4, wherein the second surface texture is exhibited by the at least one rail cam surface of the at least one rail.
实施例6Example 6
根据实施例1至5中任一项或多项所述的钉驱动器致动器,其中,该基部还具有至少一个顶表面,其中该至少一个顶表面平行于该平面,其中该第二表面纹理由该至少一个顶表面呈现。The staple driver actuator according to any one or more of embodiments 1 to 5, wherein the base further has at least one top surface, wherein the at least one top surface is parallel to the plane, wherein the second surface is textured Reason The at least one top surface is present.
实施例7Example 7
根据实施例1至6中任一项或多项所述的钉驱动器致动器,其中,该基部还具有至少一个远侧凸轮表面,其中该至少一个远侧凸轮表面相对于该平面倾斜,其中该第二表面纹理由该至少一个远侧凸轮表面呈现。The staple driver actuator of any one or more of embodiments 1-6, wherein the base further has at least one distal cam surface, wherein the at least one distal cam surface is inclined relative to the plane, wherein The second surface texture is exhibited by the at least one distal cam surface.
实施例8Example 8
根据实施例1至7中任一项或多项所述的钉驱动器致动器,还包括至少一个侧表面,其中该第一表面纹理由该至少一个侧表面呈现。The staple driver actuator according to any one or more of embodiments 1-7, further comprising at least one side surface, wherein the first surface texture is exhibited by the at least one side surface.
实施例9Example 9
根据实施例1至8中任一项或多项所述的钉驱动器致动器,还包括至少一个近侧端部表面,其中该第一表面纹理由该至少一个近侧端部表面呈现。The staple driver actuator according to any one or more of embodiments 1-8, further comprising at least one proximal end surface, wherein the first surface texture is exhibited by the at least one proximal end surface.
实施例10Example 10
根据实施例1至9中任一项或多项所述的钉驱动器致动器,其中,该第二表面纹理由该至少一个底表面呈现。The staple driver actuator according to any one or more of embodiments 1-9, wherein the second surface texture is exhibited by the at least one bottom surface.
实施例11Example 11
根据实施例1至9中任一项或多项所述的钉驱动器致动器,其中,该第一表面纹理由该至少一个底表面呈现。The staple driver actuator according to any one or more of embodiments 1-9, wherein the first surface texture is exhibited by the at least one bottom surface.
实施例12Example 12
根据实施例1至11中任一项或多项所述的钉驱动器致动器,其中,该基部包括金属材料。The staple driver actuator of any one or more of embodiments 1-11, wherein the base comprises a metallic material.
实施例13Example 13
根据实施例1至12中任一项或多项所述的钉驱动器致动器,其中,该至少一个导轨包括金属材料。The staple driver actuator of any one or more of embodiments 1-12, wherein the at least one rail comprises a metallic material.
实施例14Example 14
根据实施例1至13中任一项或多项所述的钉驱动器致动器,其中,该基部和该至少一个导轨一起一体形成为整体件。The staple driver actuator according to any one or more of embodiments 1-13, wherein the base and the at least one rail are integrally formed together as a single piece.
实施例15Example 15
一种设备,包括:(a)钉仓,其中该钉仓包括仓托盘、仓体和能够相对于该仓托盘和该仓体移动的多个钉驱动器;和(b)根据实施例1至14中任一项或多项所述的钉驱动器致动器,其中该第一表面纹理被构造成能够接合该仓体,其中该第二表面纹理被构造成能够接合该多个钉驱动器。An apparatus comprising: (a) a staple cartridge, wherein the staple cartridge includes a cartridge tray, a cartridge body, and a plurality of staple drivers movable relative to the cartridge tray and the cartridge body; and (b) according to embodiments 1 to 14 The staple driver actuator of any one or more of the above, wherein the first surface texture is configured to engage the cartridge body, wherein the second surface texture is configured to engage the plurality of staple drivers.
实施例16Example 16
一种设备,包括:(a)钳口,其中该钳口限定纵向轴线;(b)砧座,该砧座能够相对于该钳口移动;(c)仓,其中该仓能够插入到该钳口中,其中该仓包括:(i)仓体,和(ii)至少一个钉驱动器,该至少一个钉驱动器能够相对于该仓体移动;和(d)钉驱动器致动器,该钉驱动器致动器设置在该仓内,其中该钉驱动器致动器包括:(i)第一表面,该第一表面被构造成能够在该钉驱动器致动器沿着该纵向轴线的平移期间接合该仓体,其中该第一表面具有第一表面纹理,和(ii)第二表面,该第二表面被构造成能够在该钉驱动器致动器沿着该纵向轴线的平移期间接合该至少一个钉驱动器,其中该第二表面具有比该第一表面纹理更平滑的第二表面纹理。A device comprising: (a) jaws, wherein the jaws define a longitudinal axis; (b) anvils, movable relative to the jaws; (c) cartridges, wherein the cartridges are insertable into the jaws In the mouth, wherein this storehouse comprises: (i) storehouse body, and (ii) at least one staple driver, this at least one staple driver can move relative to this storehouse body; With (d) staple driver actuator, this staple driver actuates A driver is disposed within the cartridge, wherein the staple driver actuator includes: (i) a first surface configured to engage the cartridge body during translation of the staple driver actuator along the longitudinal axis , wherein the first surface has a first surface texture, and (ii) a second surface configured to engage the at least one staple driver during translation of the staple driver actuator along the longitudinal axis, Wherein the second surface has a second surface texture that is smoother than the first surface texture.
实施例17Example 17
根据实施例16所述的设备,其中,该第一表面纹理包括金属注射模制颗粒状表面纹理,其中该第二表面纹理包括机加工表面纹理。The apparatus of embodiment 16, wherein the first surface texture comprises a metal injection molded granular surface texture, and wherein the second surface texture comprises a machined surface texture.
实施例18Example 18
根据实施例16至17中任一项或多项所述的设备,其中,该第二表面被构造成能够在该钉驱动器致动器沿着该纵向轴线的平移期间以凸轮方式接合该至少一个钉驱动器。The apparatus according to any one or more of embodiments 16-17, wherein the second surface is configured to cammably engage the at least one staple driver actuator during translation of the staple driver actuator along the longitudinal axis. Nail drive.
实施例19Example 19
一种制造用于外科缝合器的钉驱动器致动器的方法,该方法包括:(a)形成该钉驱动器致动器以使得该钉驱动器致动器包括:(i)基部,(ii)至少一个导轨,该至少一个导轨从该基部向上延伸,和(iii)多个表面,该多个表面各自具有第一表面纹理;(b)修改该多个表面中的至少一个选定表面以用比该第一表面纹理更平滑的第二表面纹理替代该至少一个选定表面的该第一表面纹理;以及(c)在该多个表面中的至少一个剩余表面上维持该第一表面纹理。A method of manufacturing a staple driver actuator for a surgical stapler, the method comprising: (a) forming the staple driver actuator such that the staple driver actuator includes: (i) a base, (ii) at least A rail, the at least one rail extends upwardly from the base, and (iii) a plurality of surfaces each having a first surface texture; (b) modifying at least one selected surface in the plurality of surfaces to use the ratio A second, smoother surface texture of the first surface texture replaces the first surface texture of the at least one selected surface; and (c) maintaining the first surface texture on at least one remaining surface of the plurality of surfaces.
实施例20Example 20
根据实施例19所述的方法,其中,形成该钉驱动器致动器包括金属注射模制该钉驱动器致动器,其中修改该至少一个选定表面包括机加工该至少一个选定表面。The method of embodiment 19, wherein forming the staple driver actuator comprises metal injection molding the staple driver actuator, wherein modifying the at least one selected surface comprises machining the at least one selected surface.
VIII.杂项VIII. Miscellaneous
本文所述的教导内容、表达方式、实施方案、示例等中的任何一者或多者可与以下专利中所述的教导内容、表达方式、实施方案、示例等中的任何一者或多者相结合:与本申请同一日期提交的名称为“Surgical Stapler End Effector Sled Having CartridgeWall Support Feature”的美国专利申请[代理人参考END9296USNP1]号;与本申请同一日期提交的名称为“Surgical Stapler End Effector Sled Having Staple DriverSupport Feature”的美国专利申请[代理人参考END9296USNP2]号;与本申请同一日期提交的名称为“Surgical Stapler End Effector Sled Having Tapered Distal End”的美国专利申请[代理人参考END9296USNP3]号;与本申请同一日期提交的名称为“SurgicalStapler End Effector Sled Having Cartridge Biasing Feature”的美国专利申请[代理人参考END9296USNP5]号;与本申请同一日期提交的名称为“Surgical Stapler EndEffector Sled”的美国专利申请[代理人参考END9296USDP1]号;和/或与本申请同一日期提交的名称为“Surgical Stapler End Effector Sled”的美国专利申请[代理人参考END9296USDP2]号。这些申请中的每个申请的公开内容均以引用方式并入本文。Any one or more of the teachings, expressions, embodiments, examples, etc. described herein may be combined with any one or more of the teachings, expressions, embodiments, examples, etc. described in the following patents Combination: U.S. Patent Application [Attorney Reference END9296USNP1] No. [Attorney Reference END9296USNP1] filed on the same date as this application, and named "Surgical Stapler End Effector Sled U.S. Patent Application [Attorney's Reference END9296USNP2] No. "Having Staple Driver Support Feature"; U.S. Patent Application [Attorney's Reference END9296USNP3] No. "Surgical Stapler End Effector Sled Having Tapered Distal End" filed on the same date as this application; and The U.S. Patent Application [Proxy Reference END9296USNP5] No. of the name submitted on the same date of this application as "SurgicalStapler End Effector Sled Having Cartridge Biasing Feature"; the U.S. Patent Application [ Attorney's Reference END9296USDP1]; and/or US Patent Application [Attorney's Reference END9296USDP2] entitled "Surgical Stapler End Effector Sled" filed on the same date as this application. The disclosure of each of these applications is incorporated herein by reference.
应当理解,本文所述的教导内容、表达、实施方案、示例等中的任何一者或多者可与本文所述的其他教导内容、表达、实施方案、示例等中的任何一者或多者进行组合。因此,上述教导内容、表达方式、实施方案、实施例等不应被视为彼此孤立。参考本文的教导内容,本文的教导内容可进行组合的各种合适方式对于本领域的技术人员而言将显而易见。此类修改和变型旨在包括在权利要求书的范围内。It is to be understood that any one or more of the teachings, expressions, embodiments, examples, etc. described herein may be combined with any one or more of the other teachings, expressions, embodiments, examples, etc. described herein. to combine. Accordingly, the above teachings, expressions, embodiments, examples, etc. should not be viewed in isolation from each other. Various suitable ways in which the teachings herein may be combined will be apparent to those of skill in the art in view of the teachings herein. Such modifications and variations are intended to be included within the scope of the claims.
应当理解,据称以引用方式并入本文的任何专利、专利公布或其他公开材料,无论是全文或部分,仅在所并入的材料与本公开中所述的现有定义、陈述或者其他公开材料不冲突的范围内并入本文。因此,并且在必要的程度下,本文明确列出的公开内容代替以引用方式并入本文的任何冲突材料。据称以引用方式并入本文但与本文列出的现有定义、陈述或其他公开材料相冲突的任何材料或其部分,将仅在所并入的材料与现有的公开材料之间不产生冲突的程度下并入。It should be understood that any patent, patent publication, or other disclosure material that is said to be incorporated by reference herein, whether in whole or in part, is only to the extent that the incorporated material is consistent with the prior definitions, statements, or other disclosures set forth in this disclosure. The material is incorporated herein to the extent that it does not conflict. Accordingly, and to the extent necessary, the disclosure explicitly set forth herein supersedes any conflicting material incorporated herein by reference. Any material, or portion thereof, that is said to be incorporated herein by reference but that conflicts with existing definitions, statements, or other disclosed material set forth herein will only be disproved between the incorporated material and the existing disclosed material. Incorporate to the extent of conflict.
上述装置的型式可应用于由医疗专业人员进行的传统医学治疗和手术、以及机器人辅助的医学治疗和手术中。仅以举例的方式,本文的各种教导内容可易于并入机器人外科系统,诸如Intuitive Surgical,Inc.(Sunnyvale,California)的DAVINCITM系统。Devices of the type described above find application in conventional medical treatments and procedures performed by medical professionals, as well as in robot-assisted medical treatments and procedures. By way of example only, the various teachings herein may be readily incorporated into a robotic surgical system, such as the DAVINCI ™ system from Intuitive Surgical, Inc. (Sunnyvale, California).
上文所述的型式的装置可被设计为单次使用后丢弃,或者它们可被设计为可多次使用。在任一种情况下或两种情况下,可对这些型式进行修复以在至少一次使用之后重复使用。修复可包括以下步骤的任意组合:拆卸装置,然后清洁或替换特定零件以及随后进行重新组装。具体地,可拆卸一些型式的装置,并且可以任何组合来选择性地替换或移除装置的任意数量的特定零件或部分。在清洁和/或更换特定部件时,所述装置的一些型式可在修复设施处重新组装或者在即将进行手术之前由用户重新组装以供随后使用。本领域的技术人员将会了解,装置的修复可利用多种技术进行拆卸、清洁/更换、以及重新组装。此类技术的使用以及所得的修复装置均在本申请的范围内。Devices of the type described above may be designed to be disposed of after a single use, or they may be designed to be used multiple times. In either or both cases, these versions can be reconditioned for reuse after at least one use. Reconditioning can include any combination of disassembly of the unit followed by cleaning or replacement of specific parts and subsequent reassembly. In particular, some versions of the device may be disassembled, and any number of specific parts or portions of the device may be selectively replaced or removed in any combination. Some versions of the devices may be reassembled for subsequent use at a reconditioning facility or by the user immediately prior to surgery upon cleaning and/or replacement of certain components. Those skilled in the art will appreciate that reconditioning of a device may utilize a variety of techniques for disassembly, cleaning/replacement, and reassembly. The use of such techniques, as well as the resulting prosthetic devices, are within the scope of this application.
仅以举例的方式,本文描述的型式可在手术之前和/或之后消毒。在一种消毒技术中,将所述装置放置在闭合且密封的容器诸如塑料袋或TYVEK袋中。然后可将容器和装置放置在可穿透容器的辐射场中,诸如γ辐射、x射线、或高能电子。辐射可杀死装置上和容器中的细菌。然后可将经消毒的装置储存在无菌容器中,以用于以后使用。还可使用本领域已知的任何其它技术对装置进行消毒,所述技术包括但不限于β辐射或γ辐射、环氧乙烷或蒸汽。By way of example only, the versions described herein may be sterilized before and/or after surgery. In one sterilization technique, the device is placed in a closed and sealed container such as a plastic or TYVEK bag. The container and device can then be placed in a field of radiation that can penetrate the container, such as gamma radiation, x-rays, or high energy electrons. Irradiation kills bacteria on the device and in the container. The sterilized device can then be stored in a sterile container for later use. The device may also be sterilized using any other technique known in the art, including but not limited to beta or gamma radiation, ethylene oxide, or steam.
已经示出和阐述了本发明的各种实施方案,可在不脱离本发明的范围的情况下由本领域的普通技术人员进行适当修改来实现本文所述的方法和系统的进一步改进。已经提及了若干此类可能的修改,并且其他修改对于本领域的技术人员而言将显而易见。例如,上文所讨论的实施例、实施方案、几何形状、材料、尺寸、比率、步骤等均是例示性的而非必需的。因此,本发明的范围应根据以下权利要求书来考虑,并且应理解为不限于说明书和附图中示出和描述的结构和操作的细节。Having shown and described various embodiments of the present invention, further improvements of the methods and systems described herein can be effected by appropriate modification by one of ordinary skill in the art without departing from the scope of the present invention. Several such possible modifications have been mentioned, and others will be apparent to those skilled in the art. For example, the examples, embodiments, geometries, materials, dimensions, ratios, steps, etc. discussed above are illustrative and not required. Accordingly, the scope of the present invention should be considered in terms of the following claims and is understood not to be limited to the details of structure and operation shown and described in the specification and drawings.
Claims (20)
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| US17/088,971 | 2020-11-04 | ||
| US17/088,971 US11553912B2 (en) | 2020-11-04 | 2020-11-04 | Surgical stapler end effector sled having multiple surface finishes |
| PCT/IB2021/060163 WO2022097034A1 (en) | 2020-11-04 | 2021-11-03 | Surgical stapler end effector sled having multiple surface finishes |
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| JP7771183B2 (en) | 2025-11-17 |
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